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Organization
FAHEEM QAZI DDS CORP
Active
Organization
FAHEEM QAZI DDS CORP
Active
Other names
Redondo Beach Dental Arts
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAHEEM AHMED QAZI DDS (OWNER)
(310) 613-3153
Entity
Organization
Contact information
Practice address
2731 MANHATTAN BEACH BLVD, REDONDO BEACH, CA 90278-1602
(310) 683-5322
Mailing address
4456 VIA PINZON, PALOS VERDES ESTATES, CA 90274-1558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100698
DENTAL BOARD OF CALIFORNIA
CA
01
—
1336359405
NPI
—
01
—
1407300130
NPI
—
01
—
1497462220
NPI
—
01
—
50165
DENTAL BOARD OF CALIFORNIA
CA
01
—
55694
DENTAL BOARD OF CALIFORNIA
CA
Enumeration date
09/05/2022
Last updated
12/25/2022
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