Provider Demographics
NPI:1972655009
Name:SALMASSIAN, REZA (DDS)
Entity Type:Individual
Prefix:DR
First Name:REZA
Middle Name:
Last Name:SALMASSIAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:24001 NEWHALL RANCH RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-5703
Mailing Address - Country:US
Mailing Address - Phone:661-222-7444
Mailing Address - Fax:661-222-7434
Practice Address - Street 1:24001 NEWHALL RANCH RD
Practice Address - Street 2:SUITE 220
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-5703
Practice Address - Country:US
Practice Address - Phone:661-222-7444
Practice Address - Fax:661-222-7434
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA515181223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics