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General NPI Number Information
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NPI Number | 1477985679
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Entity Type | Organization
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Legal Business Name | ARASH RAZI, DDS., INC
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Dates
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Enumeration Date | 07/30/2013
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Last Update Date | 04/01/2020
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Provider Practice Location Address
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Address Line | 10515 BALBOA BLVD STE 250
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City | GRANADA HILLS
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State | CA
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Zip | 91344-6361
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Country | US
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Telephone | 818-365-8600
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Fax | 818-898-9984
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Provider Business Mailing Address
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Address Line | 10515 BALBOA BLVD STE 250
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City | GRANADA HILLS
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State | CA
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Zip | 91344-6361
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Country | US
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Telephone | 818-365-8600
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Fax | 818-898-9984
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARASH RAZI
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Credential | DDS
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Telephone | 818-365-8600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 54957
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License Number State | CA
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