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General NPI Number Information
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NPI Number | 1962364216
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Entity Type | Organization
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Legal Business Name | DR A DANESHVAR DDS INC
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 77564 COUNTRY CLUB DR STE 350
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City | PALM DESERT
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State | CA
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Zip | 92211-0450
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Country | US
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Telephone | 760-772-7082
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Fax | 760-772-7085
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Provider Business Mailing Address
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Address Line | 77564 COUNTRY CLUB DR STE 350
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City | PALM DESERT
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State | CA
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Zip | 92211-0450
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Country | US
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Telephone | 720-772-7082
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Fax | 760-772-7085
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Authorized Official
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Title or Position | OWNER/ DDS
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Name | DR. AVIDEH DANESHVAR MOZAFARI
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Credential | DDS
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Telephone | 760-772-7082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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