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1710166772
HOSSAIN M DEZHAM
GRANITE BAY, CA
NPI
1710166772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 19711)
Enumeration Date
2007-10-26
Last Update Date
2007-10-26
Business Address
-- HOSSAIN M DEZHAM DDS
5613 CALLE PALOMA CT
GRANITE BAY, CA 95746-5861
Phone number: 916-716-8311
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Mailing Address
-- HOSSAIN M DEZHAM DDS
5613 CALLE PALOMA CT
GRANITE BAY, CA 95746-5861
Phone number: 916-716-8311
Copy
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