Reza Khazaeizadeh DDS INC

NPI #1285981159 in Farmersville, California

Provider Information

NPI Number: 1285981159
Entity Type: Organization
Organization Name: Reza Khazaeizadeh DDS INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 10, 2012
Last Updated: Aug 10, 2012

Practice Location

Address: 243 N FARMERSVILLE BLVD
City: Farmersville
State: California
ZIP Code: 93223-1570
Phone: (559) 747-5200

Authorized Official

Name: DR. REZA KHAZAEIZADEH, DDS
Title: PRESIDENT
Phone: (559) 747-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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