Shirazi, Reza J

Shirazi, Reza J is an sole proprietor health care provider with primary practice located at 81735 Highway 111, Suite A , Indio CA 92201. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Shirazi, Reza J can be contacted via phone (760) 391-4474.

Contact Information

Primary practice address
81735 Highway 111, Suite A Indio CA 92201
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 54475 California

Profile Details

NPI number 1710049598
LBN Legal business name Shirazi, Reza J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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