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Organization
REZA K. ARYANPOUR DDS, A DENTAL CORPORATION
Active
Organization
REZA K. ARYANPOUR DDS, A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA K ARYANPOUR (DDS/ PRESIDENT)
(415) 819-1977
Entity
Organization
Contact information
Practice address
1436 PROFESSIONAL DR STE 302, PETALUMA, CA 94954-6697
(415) 819-1977
Mailing address
1436 PROFESSIONAL DRIVE SUITE 302, PETALUMA, CA 94954
(415) 819-1977
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47685
CA
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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