Organization
AZIN HAJIGHOLAM REZAEI DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZIN H REZAEI DDS (PRESIDENT)
(818) 952-6000
Entity
Organization
Contact information
Practice address
1035 FOOTHILL BLVD, LA CANADA FLINTRIDGE, CA 91011-3249
(818) 952-6000
(818) 952-6003
Mailing address
1035 FOOTHILL BLVD, LA CANADA, CA 91011-3249
(818) 952-6000
(818) 952-6003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56863
CA
Other
Enumeration date
08/30/2016
Last updated
03/27/2017
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