Organization
POURSHIRAZI & RENZI DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH RENZI JR. DDS (PRESIDENT)
(714) 313-5781
Entity
Organization
Contact information
Practice address
999 N TUSTIN AVE STE 219, SANTA ANA, CA 92705-6506
(714) 972-1359
Mailing address
46 WOODCREST, IRVINE, CA 92603-0220
(714) 313-5781
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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