Roza Mirebrahimian

General Practice Dentistry · Turlock, CA

Individual Active NPI

NPI number 1164032165

Practice location

703 N Golden State Blvd
Turlock, CA 95380-3953
Phone
(209) 216-4198

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NPI record

NPI
1164032165
Entity type
Individual (Type 1)
Enumeration date
August 4, 2020
Last updated
August 4, 2020
Certified
August 4, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 105198 CA

Mailing address

4403 Chesapeake Dr
Oxnard, CA 93035-2151
Phone
(818) 297-7988

About Roza Mirebrahimian

Roza Mirebrahimian is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 703 N Golden State Blvd, Turlock, CA 95380-3953. The NPI number 1164032165 was assigned on August 4, 2020 and the record was last updated on August 4, 2020.

Roza Mirebrahimian lists a license in the registry: #105198 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Roza Mirebrahimian?

The NPI number is 1164032165.

What is the phone number of Roza Mirebrahimian?

The phone number listed for the practice location is (209) 216-4198.

Where is Roza Mirebrahimian located?

703 N Golden State Blvd, Turlock, CA 95380-3953.

What is the taxonomy code for Roza Mirebrahimian?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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