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Organization
REZA SHIRAZI DDS INC
Active
Organization
REZA SHIRAZI DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA J SHIRAZI DDS (PRESIDENT)
(310) 694-6156
Entity
Organization
Contact information
Practice address
12052 HESPERIA RD STE 4, HESPERIA, CA 92345-1808
(310) 694-6156
Mailing address
12052 HESPERIA RD STE 4, HESPERIA, CA 92345-1808
(310) 694-6156
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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