| Michael Rabizadeh, D.d.s., P.c. | |
|
19409 Stagg St Reseda CA 91335-2351 | |
| (818) 723-4337 | |
| Not Available |
| Full Name | Michael Rabizadeh, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 19409 Stagg St, Reseda, California |
| Authorized Official Name and Position | Michael Omid Rabizadeh (PRESIDENT) |
| Authorized Official Contact | 8187234337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Rabizadeh, D.d.s., P.c. 19409 Stagg St Reseda CA 91335-2351 Ph: (818) 723-4337 | Michael Rabizadeh, D.d.s., P.c. 19409 Stagg St Reseda CA 91335-2351 Ph: (818) 723-4337 |
| NPI Number | 1780123018 |
|---|---|
| Provider Enumeration Date | 02/20/2017 |
| Last Update Date | 02/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780123018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DDS100986 (California) | Primary |
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