Organization
REZA RASEKHI, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZA RASEKHI D.D.S. (OWNER)
(714) 289-8100
Entity
Organization
Contact information
Practice address
665 N TUSTIN ST, SUITE W, ORANGE, CA 92867-7146
(714) 289-8100
Mailing address
665 N TUSTIN ST, SUITE W, ORANGE, CA 92867-7146
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
52106
CA
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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