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DR. MAZDA BERENJIAN D.D.S.

Dental Providers Dentist

Provider NPI: 1275777245

Provider Information:
DR. MAZDA  BERENJIAN D.D.S.
Gender: M
Sole Proprietor

Practice Location:
560 DABNEY DR SUITE C HENDERSON, NC 27536-3946 US
Tel: 252-492-6004  Fax: --

Business Mailing Address:
10509 BECKRIDGE LN  RALEIGH, NC 27615-2081 US
Tel: --  Fax: --

NPI Information:
NPI: 1275777245
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
NC8751

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 122300000X

Type:

Classification:



Definition:



MEDICAL JOBS NC - Page 1

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