Organization
FARHAD MAZI, DDS, A PROFESSIONAL CORPORATION
Active
Parent organization
FARHAD MAZI, DDS, A PROFESSIONAL CORPORATION
Other names
HB Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
FARHAD MAZI, DDS, A PROFESSIONAL CORPORATION
Authorized official
LAURIE MORRISON DO (MANAGER)
(760) 242-7753
Entity
Organization
Contact information
Practice address
7772 WARNER AVE STE 105, HUNTINGTON BEACH, CA 92647-8028
(714) 375-2002
Mailing address
19190 US HIGHWAY 18 STE A, APPLE VALLEY, CA 92307-2558
(760) 242-7753
(760) 946-1122
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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