Individual
AZIN RASHIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4607 FAIRFIELD DR, CORONA DEL MAR, CA 92625-3110
(310) 993-0135
Mailing address
4607 FAIRFIELD DR, CORONA DEL MAR, CA 92625-3110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
62181
CA
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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