Individual
DR. MICHAEL OMID RABIZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
19409 STAGG ST, RESEDA, CA 91335-2351
(818) 723-4337
Mailing address
19409 STAGG ST, RESEDA, CA 91335-2351
(818) 723-4337
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS100986
CA
Other
Enumeration date
01/30/2017
Last updated
01/31/2021
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