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NPI 1811126436

NPI 1811126436 : ARAGHI DMD INC : SOUTH GATE, CA

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General NPI Number Information
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    NPI Number           |    1811126436
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARAGHI DMD INC 
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Dates
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    Enumeration Date     |    07/02/2009
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    Last Update Date     |    08/11/2011
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Provider Practice Location Address
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    Address Line         |    8116 CALIFORNIA AVE STE C 
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    City                 |    SOUTH GATE
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    State                |    CA
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    Zip                  |    90280-2400
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    Country              |    US
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    Telephone            |    323-567-1821
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7122 N CLARK ST 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60626-2408
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    Country              |    US
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    Telephone            |    773-274-9009
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    Fax                  |    773-274-9009
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     HOSSEIN  ARAGHI 
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    Credential           |    
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    Telephone            |    773-274-9009
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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       |    52333
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    License Number State |    CA
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