Individual
MASHAL REZAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3416 E MILLRIDGE DR, WEST COVINA, CA 91792-2945
(909) 784-8171
Mailing address
3416 E MILLRIDGE DR, WEST COVINA, CA 91792-2945
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
26560
CA
Other
Enumeration date
09/08/2013
Last updated
09/08/2013
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