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Provider Information for 1710292495



RAAFIA MAZHAR D.D.S.

Gender: FEMALE

Individual NPI: 1710292495

Calendar   Last Updated:  2010-08-18
  Certification Date: 

Details

Name Value
NPI 1710292495
Enumeration Date 2010-08-18
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1260 HEALDSBURG AVE STE 101
HEALDSBURG, CA 95448-3409
United States

Phone: 707-433-5052 | Fax: 707-433-0297
View Map External Link
Primary Practice Address 1260 HEALDSBURG AVE STE 101
HEALDSBURG, CA 95448-3409
United States

Phone: 707-433-5052 | Fax: 707-433-0297
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CA 54360