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Organization
REZA M. BIRJANDI DDS., A PROFESSIONAL DENTAL CORPORATION
Active
Organization
REZA M. BIRJANDI DDS., A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ESBEIDY LOMELI (OFFICE MANAGER)
(951) 679-0691
Entity
Organization
Contact information
Practice address
28401 BRADLEY RD, SUITE C, SUN CITY, CA 92586-3040
(951) 679-0691
(951) 679-6094
Mailing address
28401 BRADLEY RD, SUITE C, SUN CITY, CA 92586-3040
(951) 679-0691
(951) 679-6094
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38259
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G94101-02
MEDICAL
CA
Enumeration date
09/13/2011
Last updated
10/15/2019
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