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1982676508
MASOUD EGHTEDARI
JACKSONVILLE, FL
NPI
1982676508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: LA 4777)
Enumeration Date
2006-02-07
Last Update Date
2009-02-03
Business Address
Dr. MASOUD EGHTEDARI dds
BLDG H 2005 KNIGHT LANE NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS
JACKSONVILLE, FL 32212-0140
Phone number: 858-577-4725
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Mailing Address
Dr. MASOUD EGHTEDARI dds
PSC 819 BOX18-328
FPO AE, SPAIN 09645
Phone number: 0113495-682-3768
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