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Organization
RAIHAN NAZIR DDS, INC
Active
Organization
RAIHAN NAZIR DDS, INC
Active
Other names
Smile Magic Dentistry, Raihan Nazir DDS, Inc, Smile Magic Dental, Smile Magic-Newport, Smile Magic Dental Group, Smile Magic-Placentia, Nazir Dental Group, Nazir, Raihan Mohammed DDS
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA TIELENS (MANAGER)
(714) 974-4332
Entity
Organization
Contact information
Practice address
505 S VILLA REAL STE 101B, ANAHEIM, CA 92807-3432
(714) 974-4332
(714) 921-3194
Mailing address
505 S VILLA REAL STE 101B, ANAHEIM, CA 92807-3432
(714) 974-4332
(714) 921-3194
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770700098
NPI
CA
01
—
45156
DENTAL LICENSE
CA
Enumeration date
11/16/2021
Last updated
12/23/2021
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