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Individual
REZA KHAZAIE
Active
Individual
REZA KHAZAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54591
CA
1223P0700X
Prosthodontics
54591
CA
Other
Enumeration date
05/23/2007
Last updated
09/11/2025
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