Garemani Shahmohammadi Dds Professional Dental Corp

NPI 1063690386 - Dentist - 1223X0400X

NPI Details
NPI 1063690386
Enumeration Date 02/08/2008
Last Updated 02/08/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name REZA M REZA
Position PRESIDENT ORTHODONTICS
Phone (818) 280-0385
Fax (818) 701-0418
Practice Location
8540 RESEDA BLVD
#102
NORTHRIDGE CA, 91324, US
Phone (818) 280-0385
Fax (818) 701-0418
Business Location
8540 RESEDA BLVD
#102
NORTHRIDGE CA, 91324, US
Phone (818) 280-0385
Fax (818) 701-0418
Toxanomy
Taxonomy Code 1223X0400X
License State California
License Number 34492
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According to our database, Garemani Shahmohammadi Dds Professional Dental Corp NPI is 1063690386, taxonomy code is 1223X0400X and license number is 34492, license state is located at California. Garemani Shahmohammadi Dds Professional Dental Corp physically located at 8540 Reseda Blvd, Northridge CA, 91324. NPI Number 1033115704 has the healthcare provider type.

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1063690386 NPI number is provided on an as is basis without warranty of any kind. 1063690386 is maintained by the National Plan & Provider Enumeration System. The contents of Garemani Shahmohammadi Dds Professional Dental Corp are for informational purposes only.