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Individual

ALI VAZIRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
859 VIA DE LA PAZ, SUITE C, PACIFIC PALISADES, CA 90272-3664
(310) 230-8282
(310) 230-8292
Mailing address
4125 SEPULVEDA BLVD, CULVER CITY, CA 90230-4706
(310) 391-6311
(310) 390-1874

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
39348
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
B39348-01
CA
Enumeration date
12/09/2006
Last updated
07/09/2007
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