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TAREQ AFIFI D.D.S

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1710230206

Individual Registrant:
 TAREQ  AFIFI D.D.S
Gender: M
Not Sole Proprietor

Location and contact information for practice:
12850 10TH ST SUITE B-1 CHINO, CA 91710-4293 US
Tel: 909-613-0111  Fax: 909-613-0150

Contact information for business:
7551 DARTMOUTH AVE  RANCHO CUCAMONGA, CA 91730-1509 US
Tel: 818-585-2693  Fax: 909-476-8184

Registration Information:
NPI: 1710230206
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA61584

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1659744803CA05




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