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DR. SIAMAK AFSHAR D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1689718108

Individual Registrant:
DR. SIAMAK  AFSHAR D.D.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
11623 CHERRY AVE SUITE B-2 FONTANA, CA 92337-1212 US
Tel: 909-355-1485  Fax: --

Contact information for business:
5712 LARRY DEAN ST  CORONA, CA 92880-3150 US
Tel: 909-923-9724  Fax: --

Registration Information:
NPI: 1689718108
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA50717

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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