# E SHIRAZI DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396926861
- **Authorized official:** DR. ELHAM SHIRAZI D.D.S (DENTIST)
- **Authorized official phone:** (925) 689-3500

## Contact information

- **Practice address:** 2222 EAST ST, SUITE 270, CONCORD, CA 94520-2084
- **Practice address phone:** (925) 689-3500
- **Practice address fax:** (925) 689-3535
- **Mailing address:** 2222 EAST ST, SUITE 270, CONCORD, CA 94520-2084
- **Mailing address phone:** (925) 689-3500
- **Mailing address fax:** (925) 689-3535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 54211 | CA | Yes |

## Other

- **Enumeration date:** 11/26/2007
- **Last updated:** 11/26/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | G89682-01 | MEDI-CAL DENTAL PROGRAM | CA |