Individual
ALBERT KHANZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
532 E 29TH ST, LONG BEACH, CA 90806-1645
(562) 426-3125
(562) 427-5027
Mailing address
532 E 29TH ST, LONG BEACH, CA 90806-1645
(562) 426-3125
(562) 427-5027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40632
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B40632
—
CA
Enumeration date
06/16/2008
Last updated
06/16/2008
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