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1770621591
RAY DERAKSHAN
SAN DIEGO, CA
NPI
1770621591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 46044)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
Dr. RAY DERAKSHAN D.M.D
11134 RANCHO CARMEL DR SUITE 103
SAN DIEGO, CA 92128-4671
Phone number: 858-485-1010
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Mailing Address
Dr. RAY DERAKSHAN D.M.D
11134 RANCHO CARMEL DR SUITE 103
SAN DIEGO, CA 92128-4671
Phone number: 858-485-1010
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