Organization
A MORVARID DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDOLRAZZAGH MORVARID DDS (PRESIDENT)
(818) 342-3462
Entity
Organization
Contact information
Practice address
19100 VENTURA BLVD, SUITE 12, TARZANA, CA 91355-3234
(818) 342-3462
(818) 342-5069
Mailing address
19100 VENTURA BLVD, SUITE 12, TARZANA, CA 91355-3234
(818) 342-3462
(818) 342-5069
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36587
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B3658701
—
CA
Enumeration date
09/15/2006
Last updated
08/22/2020
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