Individual
DR. ALI REZA TAVAKOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1221 N HARBOR BLVD, ANAHEIM, CA 92801-2421
(909) 302-0404
(714) 680-0080
Mailing address
1221 N HARBOR BLVD, ANAHEIM, CA 92801-2421
(909) 302-0404
(714) 680-0080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
46985
CA
Other
Enumeration date
04/17/2007
Last updated
03/09/2015
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