Individual
MR. AMIR REZA NAZEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
5515 CANOGA AVE, APT. 209, WOODLAND HILLS, CA 91367
(818) 571-3639
Mailing address
5515 CANOGA AVE APT 209, WOODLAND HILLS, CA 91367-6628
(818) 571-3639
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
26731
CA
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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