Fard & Mastour Dental Group

NPI 1740694249 - Dentist - 122300000X

NPI Details
NPI 1740694249
Enumeration Date 06/12/2014
Last Updated 06/12/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ARASH ARASH
Position PRESIDENT
Phone (818) 990-6659
Fax
Practice Location
15720 VENTURA BLVD
SUITE 514
ENCINO CA, 91436-2914, US
Phone (818) 990-6659
Fax
Business Location
15720 VENTURA BLVD
SUITE 514
ENCINO CA, 91436-2914, US
Phone (818) 990-6659
Fax
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 48007
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According to our database, Fard & Mastour Dental Group NPI is 1740694249, taxonomy code is 122300000X and license number is 48007, license state is located at California. Fard & Mastour Dental Group physically located at 15720 Ventura Blvd, Encino CA, 91436-2914. NPI Number 1033115704 has the healthcare provider type.

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1740694249 NPI number is provided on an as is basis without warranty of any kind. 1740694249 is maintained by the National Plan & Provider Enumeration System. The contents of Fard & Mastour Dental Group are for informational purposes only.