Organization
REZA KHAZAIE,DDS,INC
Active
Other names
Dental Specialty Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA KHAZAIE DDS (OWNER)
(925) 680-4444
Entity
Organization
Contact information
Practice address
1255 WILLOW PASS RD, CONCORD, CA 94520-5218
(925) 680-4444
(925) 680-4443
Mailing address
1255 WILLOW PASS RD, CONCORD, CA 94520-5218
(925) 680-4444
(925) 680-4443
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
41035
CA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
54286
CA
1223P0221X
Pediatric Dentistry
54123
CA
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
06/29/2009
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