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1629196449
SOUZAN R. ARDALAN
ORANGE, CA
NPI
1629196449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 40302)
Enumeration Date
2007-03-27
Last Update Date
2007-07-09
Business Address
Dr. SOUZAN R. ARDALAN
530 S MAIN ST
ORANGE, CA 92868-4525
Phone number: 714-480-3000
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Mailing Address
Dr. SOUZAN R. ARDALAN
2554 ARDMORE AVE
HERMOSA BEACH, CA 90254-2224
Phone number: 714-480-3000
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