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1891834941
MITRA JAVIDAN MAZDYASNI
SAN DIEGO, CA
NPI
1891834941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 38303)
Enumeration Date
2007-02-05
Last Update Date
2021-05-13
Business Address
Dr. MITRA JAVIDAN MAZDYASNI DMD
9420 MIRA MESA BLVD STE G
SAN DIEGO, CA 92126-4848
Phone number: 858-271-0600
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Mailing Address
Dr. MITRA JAVIDAN MAZDYASNI DMD
3335 LOWER RIDGE RD
SAN DIEGO, CA 92130-1816
Phone number: 858-442-9421
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