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1518214113
KHALED SUDKI FAWAZ
MISSION VIEJO, CA
NPI
1518214113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 40586)
Enumeration Date
2012-08-14
Last Update Date
2012-08-14
Business Address
Dr. KHALED SUDKI FAWAZ dds
26902 OSO PKWY SUITE 190
MISSION VIEJO, CA 92691-5801
Phone number: 949-582-9206
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Mailing Address
Dr. KHALED SUDKI FAWAZ dds
26902 OSO PKWY STE 190
MISSION VIEJO, CA 92691-5808
Phone number: 949-582-9206
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