Individual
DR. REZA KASIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6755 MIRA MESA BLVD, SUITE 218, SAN DIEGO, CA 92121
(858) 552-0052
(858) 576-1990
Mailing address
6755 MIRA MESA BLVD, SUITE 218, SAN DIEGO, CA 92121
(858) 552-0052
(858) 576-1990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
B36309
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
B36309
CA
Other
Enumeration date
09/07/2006
Last updated
09/11/2025
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