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1760629539
SOUDABEH MOAYEDGHYASY
LAKE FOREST, CA
NPI
1760629539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 37880)
Enumeration Date
2009-01-15
Last Update Date
2009-01-15
Business Address
Dr. SOUDABEH MOAYEDGHYASY D.M.D
22855 LAKE FOREST DR SUITE B
LAKE FOREST, CA 92630-1656
Phone number: 949-583-1558
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Mailing Address
Dr. SOUDABEH MOAYEDGHYASY D.M.D
22855 LAKE FOREST DR SUITE B
LAKE FOREST, CA 92630-1656
Phone number: 949-583-1558
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