Individual
ALIREZA MASHREGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
5754 WILLOWCREST AVE, NORTH HOLLYWOOD, CA 91601-2122
(323) 906-9066
(323) 666-8036
Mailing address
5754 WILLOWCREST AVE, NORTH HOLLYWOOD, CA 91601-2122
(323) 906-9066
(323) 666-8036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56533
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56533
—
CA
Enumeration date
11/26/2007
Last updated
12/07/2017
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