Organization
AFZALI DENTAL OFFICE OF RIVERSIDE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GOL MOHAMMADI (REGIONAL MANAGER)
(951) 788-4500
Entity
Organization
Contact information
Practice address
4151 BROCKTON AVE, RIVERSIDE, CA 92501-3442
(951) 788-4500
Mailing address
4151 BROCKTON AVE, RIVERSIDE, CA 92501-3442
(951) 788-4500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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