Individual
MR. SEYED REZA IZADI DEHKORDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22982 EL TORO RD, STE 100, LAKE FOREST, CA 92630-4961
(949) 305-0202
(949) 305-0203
Mailing address
22982 EL TORO RD, STE 100, LAKE FOREST, CA 92630-4961
(949) 305-0202
(949) 305-0203
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
43172
CA
Other
Enumeration date
11/21/2006
Last updated
08/01/2013
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