Individual
DR. AMIR REZA AMINOSHARIAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2956 SPARROW DR, FULLERTON, CA 92835-2322
(216) 533-6880
Mailing address
1515 W CORNWALLIS DR STE 105, GREENSBORO, NC 27408-6334
(336) 379-1134
(336) 379-1119
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30023530
OH
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
103566
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9639
NC
Other
Enumeration date
08/12/2011
Last updated
02/01/2021
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