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1699200220
FARWEST DENTAL GROUP
WILMINGTON, CA
NPI
1699200220
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Entity Type
Organization
Authorized Contact
HASSAN FAYOUMI
Onwer
310-699-1549
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 52604)
Enumeration Date
2017-04-20
Last Update Date
2017-04-20
Business Address
FARWEST DENTAL GROUP
1704 N AVALON BLVD
WILMINGTON, CA 90744-1433
Phone number: 310-835-5130
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Mailing Address
FARWEST DENTAL GROUP
1704 N AVALON BLVD
WILMINGTON, CA 90744-1433
Phone number: 310-835-5130
Copy
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