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1548033905
AVA MANOOCHEHRI
SANTA ROSA, CA
NPI
1548033905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 109221)
Enumeration Date
2023-11-06
Last Update Date
2023-11-06
Business Address
AVA MANOOCHEHRI DDS
370 CODDINGTOWN CTR
SANTA ROSA, CA 95401-3507
Phone number: 707-867-1310
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Mailing Address
AVA MANOOCHEHRI DDS
12 WILD ROSE PL
ALISO VIEJO, CA 92656-7058
Phone number: 949-338-6015
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