Organization
MICHAEL RABIZADEH, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL OMID RABIZADEH D.D.S (PRESIDENT)
(818) 723-4337
Entity
Organization
Contact information
Practice address
19409 STAGG ST, RESEDA, CA 91335-2351
(818) 723-4337
Mailing address
19409 STAGG ST, RESEDA, CA 91335-2351
(818) 723-4337
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS100986
CA
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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