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Organization
SHEIDA MOHAMMADIZADEH DDS, INC
Active
Organization
SHEIDA MOHAMMADIZADEH DDS, INC
Active
Other names
Orangecrest Family Dental Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEIDA MOHAMMADIZADEH (OWNER)
(951) 789-9905
Entity
Organization
Contact information
Practice address
19348 VAN BUREN BLVD STE 117, RIVERSIDE, CA 92508-9158
(951) 789-9905
Mailing address
19348 VAN BUREN BLVD STE 117, RIVERSIDE, CA 92508-9158
(951) 789-9905
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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