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1750595195
ELMIRA KHODAPANAH
SAN DIEGO, CA
NPI
1750595195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 43989)
Enumeration Date
2007-05-09
Last Update Date
2009-09-17
Business Address
-- ELMIRA KHODAPANAH D.D.S
2333 CAMINO DEL RIO S STE 140
SAN DIEGO, CA 92108-3607
Phone number: 619-574-1810
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Mailing Address
-- ELMIRA KHODAPANAH D.D.S
12079 WORLD TRADE DR UNIT 4
SAN DIEGO, CA 92128-4393
Phone number: 858-485-8855
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