Individual
ALI SOLTANIRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
29433 BERTRAND DR, AGOURA HILLS, CA 91301-4127
(310) 678-2192
Mailing address
29433 BERTRAND DR, AGOURA HILLS, CA 91301-4127
(310) 678-2192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105190
CA
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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