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1619193950
ALI REZA TAVAKOLI
ANAHEIM, CA
NPI
1619193950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 46985)
Enumeration Date
2007-04-17
Last Update Date
2015-03-09
Business Address
Dr. ALI REZA TAVAKOLI
1221 N HARBOR BLVD
ANAHEIM, CA 92801-2421
Phone number: 909-302-0404
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Mailing Address
Dr. ALI REZA TAVAKOLI
1221 N HARBOR BLVD
ANAHEIM, CA 92801-2421
Phone number: 909-302-0404
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