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MR. REZA MOHAMMAD BIRJANDI DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1083801336

Individual Registrant:
MR. REZA MOHAMMAD BIRJANDI DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
27066 SOUTH LA PAZ RD  ALISO VIEJO, CA 92656 US
Tel: 949-360-9700  Fax: 949-362-5182

Contact information for business:
27066 SOUTH LA PAZ RD  ALISO VIEJO, CA 92656 US
Tel: 949-360-9700  Fax: 949-362-5182

Registration Information:
NPI: 1083801336
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA38259

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICALG9410101CA01




HEALTH CARE JOBS CA - Page 1



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