Individual
DR. ABDOLREZA SAFFARI-NAZARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11540 HAWTHORNE BLVD STE B, HAWTHORNE, CA 90250-2367
(818) 913-3158
(424) 269-0412
Mailing address
11540 HAWTHORNE BLVD STE B, HAWTHORNE, CA 90250-2367
(818) 913-3158
(424) 269-0412
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53271
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-5166763
TAX IDENTIFICATION NUMBER
CA
Enumeration date
08/21/2006
Last updated
01/04/2025
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