Organization
REZA KASIRI
Active
Organization
REZA KASIRI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZA KASIRI DDS (OWNER)
(858) 552-0052
Entity
Organization
Contact information
Practice address
6755 MIRA MESA BLVD STE 218, SAN DIEGO, CA 92121-4311
(858) 552-0052
Mailing address
6755 MIRA MESA BLVD STE 218, SAN DIEGO, CA 92121-4311
(858) 552-0052
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
36309
CA
Other
Enumeration date
02/09/2013
Last updated
02/09/2013
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