# A MORVARID DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205932647
- **Authorized official:** MR. ABDOLRAZZAGH MORVARID DDS (PRESIDENT)
- **Authorized official phone:** (818) 342-3462

## Contact information

- **Practice address:** 19100 VENTURA BLVD, SUITE 12, TARZANA, CA 91355-3234
- **Practice address phone:** (818) 342-3462
- **Practice address fax:** (818) 342-5069
- **Mailing address:** 19100 VENTURA BLVD, SUITE 12, TARZANA, CA 91355-3234
- **Mailing address phone:** (818) 342-3462
- **Mailing address fax:** (818) 342-5069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 36587 | CA | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | B3658701 | — | CA |