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Organization
EZYDENTAL
Active
Organization
EZYDENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINA EFTEKHARI RIZI (OWNER)
(562) 426-9308
Entity
Organization
Contact information
Practice address
4301 ATLANTIC AVE STE 4, LONG BEACH, CA 90807-2833
(562) 426-9308
Mailing address
4301 ATLANTIC AVE STE 4, LONG BEACH, CA 90807-2833
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
57795
CA
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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