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Individual
DR. KOUROSH DIANATYAZDI
Active
Individual
DR. KOUROSH DIANATYAZDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50457
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
50457
CA
Other
Enumeration date
10/05/2006
Last updated
04/14/2016
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