Individual
DR. AHSAN SYED RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
61 LONG CT, THOUSAND OAKS, CA 91360-6083
(805) 497-3797
Mailing address
61 LONG CT, THOUSAND OAKS, CA 91360-6083
(805) 497-3797
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
47554
CA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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