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Organization
REZA GHASEMI, DDS INC.
Active
Organization
REZA GHASEMI, DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA GHASEMI DDS (OWNER DENTIST)
(323) 457-8787
Entity
Organization
Contact information
Practice address
9849 ATLANTIC AVE STE F, SOUTH GATE, CA 90280-5200
(323) 457-8787
Mailing address
9849 ATLANTIC AVE STE F, SOUTH GATE, CA 90280-5200
(323) 457-8787
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103781
DENTIST
CA
Enumeration date
03/24/2021
Last updated
03/24/2021
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