Organization
E SHIRAZI DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELHAM SHIRAZI D.D.S (DENTIST)
(925) 689-3500
Entity
Organization
Contact information
Practice address
2222 EAST ST, SUITE 270, CONCORD, CA 94520-2084
(925) 689-3500
(925) 689-3535
Mailing address
2222 EAST ST, SUITE 270, CONCORD, CA 94520-2084
(925) 689-3500
(925) 689-3535
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54211
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G89682-01
MEDI-CAL DENTAL PROGRAM
CA
Enumeration date
11/26/2007
Last updated
11/26/2007
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