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NIOUSHA ANVARI DMD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1720444573

Individual Registrant:
 NIOUSHA  ANVARI DMD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
265 16TH ST  RICHMOND, CA 94801-3214 US
Tel: 510-233-6515  Fax: --

Contact information for business:
3512 MORAGA BLVD APT 3103  LAFAYETTE, CA 94549-4424 US
Tel: --  Fax: --

Registration Information:
NPI: 1720444573
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA106927

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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