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Organization
REZA KHAZAEIZADEH DDS INC
Active
Organization
REZA KHAZAEIZADEH DDS INC
Active
Other names
One World Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA KHAZAEIZADEH DDS (PRESIDENT)
(559) 747-5200
Entity
Organization
Contact information
Practice address
243 N FARMERSVILLE BLVD, FARMERSVILLE, CA 93223-1570
(559) 747-5200
(559) 747-5203
Mailing address
243 N FARMERSVILLE BLVD, FARMERSVILLE, CA 93223-1570
(559) 747-5200
(559) 747-5203
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
57020
CA
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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