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DR. AVIDEH DANESHVAR- MOZAFARI DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1548830169
Individual Registrant:DR. AVIDEH DANESHVAR- MOZAFARI DDS
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
69450 RAMON RD CATHEDRAL CITY, CA 92234-3349 US
Tel: 647-447-9345 Fax: --
Tel: 647-447-9345 Fax: --
Contact information for business:
69450 RAMON RD CATHEDRAL CITY, CA 92234-3349 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1548830169
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | 105782 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
