Individual
AZITA ZAVARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
11611 SAN VICENTE BLVD, SUITE L-1, LOS ANGELES, CA 90049
(503) 819-0510
Mailing address
PO BOX 572022, TARZANA, CA 91357-2022
(503) 819-0510
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
25799
—
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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