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Organization
GHOLAM-REZA ZARRINNEGAR DDS INC
Active
Organization
GHOLAM-REZA ZARRINNEGAR DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHOLAM-REZA ZARRINNEGAR DDS (PRESIDENT)
(818) 344-0177
Entity
Organization
Contact information
Practice address
19231 VICTORY BLVD, SUITE 37, RESEDA, CA 91335-6308
(818) 344-0177
Mailing address
19231 VICTORY BLVD, SUITE 37, RESEDA, CA 91335-6308
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53492
CA
122300000X
Dentist
56090
CA
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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