Organization
DAVID RABIZADEH, DDS, A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SHAHRAM RABIZADEH DDS (PRESIDENT)
(323) 526-1992
Entity
Organization
Contact information
Practice address
1018 1/2 N. VERMONT AVE., LOS ANGELES, CA 90029-3519
(323) 953-7700
(323) 953-7704
Mailing address
1018 1/2 N. VERMONT AVE., LOS ANGELES, CA 90029-3519
(323) 953-7700
(323) 953-7704
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
41984
CA
122300000X
Dentist
Primary
—
CA
122300000X
Dentist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9345701
MEDICAL
CA
Enumeration date
12/19/2006
Last updated
02/12/2020
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