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HOLLY ASADI D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1568500627

Individual Registrant:
 HOLLY  ASADI D.D.S.
Gender: F
Sole Proprietor

Location and contact information for practice:
94 MARIPOSA AVE  WATSONVILLE, CA 95076-2660 US
Tel: 831-722-4292  Fax: 831-768-8580

Contact information for business:
94 MARIPOSA AVE  WATSONVILLE, CA 95076-2660 US
Tel: 831-722-4292  Fax: 831-768-8580

Registration Information:
NPI: 1568500627
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA42117

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DENTI-CAL PROVIDER NUMBERB4211702CA01




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