FARNAM AHMADI MOSHTAGHIN

SAN LUIS OBISPO, CA
NPI1972142040
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  104741)
Enumeration Date2020-01-06
Last Update Date2020-01-06
Business Address
FARNAM AHMADI MOSHTAGHIN
3870 BROAD ST STE 1
SAN LUIS OBISPO, CA 93401-7172
Phone number: 805-214-4071
Mailing Address
FARNAM AHMADI MOSHTAGHIN
17145 SW OAK ST
BEAVERTON, OR 97007-3920
Phone number: 503-962-9182
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