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General NPI Number Information
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NPI Number | 1881445211
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Entity Type | Organization
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Legal Business Name | MARAL RANJBAR, A PROFESSIONAL DENTAL CORPORATION
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Dates
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Enumeration Date | 04/01/2024
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 3878 W CARSON ST STE 200
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City | TORRANCE
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State | CA
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Zip | 90503-6734
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Country | US
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Telephone | 310-316-6062
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Fax |
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Provider Business Mailing Address
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Address Line | 3878 W CARSON ST STE 200
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City | TORRANCE
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State | CA
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Zip | 90503-6734
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | MARAL RANJBAR AGHDAM
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Credential |
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Telephone | 734-353-7315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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