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1891369641
OMID MIRFENDERESKI
SAN RAFAEL, CA
NPI
1891369641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: CA 106243)
Enumeration Date
2021-05-17
Last Update Date
2024-06-16
Business Address
Dr. OMID MIRFENDERESKI DDS, MPH
3110 KERNER BLVD
SAN RAFAEL, CA 94901-5411
Phone number: 415-448-1500
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Mailing Address
Dr. OMID MIRFENDERESKI DDS, MPH
PO BOX 3623
SANTA CLARA, CA 95055-3623
Phone number:
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