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Organization
MOHAMMAD REZA ABBASZADEH - MOBILE VAN
Active
Organization
MOHAMMAD REZA ABBASZADEH - MOBILE VAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA ABBASZADEH DDS (CEO)
(916) 922-5000
Entity
Organization
Contact information
Practice address
8890 CAL CENTER DR, SACRAMENTO, CA 95826-3200
(916) 922-5000
(916) 646-9000
Mailing address
8890 CAL CENTER DR, SACRAMENTO, CA 95826-3200
(916) 922-5000
(916) 646-9000
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
37620
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1637620
DELTA DENTAL OF CA
CA
01
—
B37620-01
HEALTHY FAMILIES DELTA
CA
Enumeration date
01/02/2007
Last updated
08/22/2020
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