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General NPI Number Information
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NPI Number | 1598813065
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Entity Type | Organization
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Legal Business Name | LOTFI DDS INC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2725 MISSION STR MISSION DENTAL HEALTH
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City | SAN FRANCISCO
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State | CA
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Zip | 94110
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Country | US
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Telephone | 415-824-2292
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 897
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City | REDWOOD CITY
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State | CA
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Zip | 94064-0897
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Country | US
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Telephone | 650-455-4570
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MEHRNEGAR LOTFI
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Credential | DDS
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Telephone | 650-455-4570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 54282
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License Number State | CA
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