Individual
DR. IZAD RIAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2712 N KANSAS EXPY, SPRINGFIELD, MO 65803-1106
(417) 895-9439
Mailing address
1332 NE PARVIN RD APT 201, KANSAS CITY, MO 64116-5021
(801) 898-1408
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2021037743
MO
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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