DR. Reza Mahmoudiani

NPI #1841596673 in La, California

Provider Information

NPI Number: 1841596673
Entity Type: Individual
Name: DR. Reza Mahmoudiani
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Jan 26, 2011
Last Updated: Jan 26, 2011

Practice Location

Address: 925 WEST 34TH STREET
Address 2: USC SCHOOL OF DENTISTRY
City: La
State: California
ZIP Code: 90089
Phone: (310) 467-3669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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