Reza Baharloo, D.D.S Valid NPI
Individual provider · General Practice Dentistry · Vista, CA
- NPI
- 1770609737
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 64135 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-03-21
- Last updated
- 2017-04-06
Practice location
1279 E Vista Way
Vista, CA 92084-4039
(832) 687-2152