Organization
ALIREZA MOSHAVERINIA DDS MS PHD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIREZA MOSHAVERINIA DDS, MS, PHD, FACP (PRESIDENT)
(646) 712-0862
Entity
Organization
Contact information
Practice address
5363 BALBOA BLVD STE 434, ENCINO, CA 91316-2839
(646) 712-0862
Mailing address
1247 CASIANO RD, LOS ANGELES, CA 90049-1613
(646) 712-0862
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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