Individual
POOYA SOLTANZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8101 E KAISER BLVD STE 120, ANAHEIM, CA 92808-2261
(714) 974-0949
(714) 974-1310
Mailing address
8101 E KAISER BLVD STE 120, ANAHEIM, CA 92808-2261
(714) 974-0949
(714) 974-1310
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
102464
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/01/2016
Last updated
10/06/2021
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