Ehsan Rezvan, DDS, MS

NPI #1902985492 in Gilroy, California

Provider Information

NPI Number: 1902985492
Entity Type: Individual
Name: Ehsan Rezvan, DDS, MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: DDS, MS
Enumeration Date: Nov 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 7880 WREN AVE
Address 2: BUILDING D SUITE 144
City: Gilroy
State: California
ZIP Code: 95020-4943
Phone: (408) 842-9045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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