Nabizadeh Denal Corporation

NPI 1083844468 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1083844468
Enumeration Date 07/21/2009
Last Updated 07/21/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name BENNY BENNY
Position DENTIST
Phone (310) 435-7586
Fax
Practice Location
5204 YARMOUTH AVE
#109
ENCINO CA, 91316-3102, US
Phone (310) 435-7586
Fax
Business Location
16311 VENTURA BLVD
#640
ENCINO CA, 91436-2124, US
Phone (310) 435-7586
Fax
Toxanomy
Taxonomy Code 302R00000X
License State California
License Number 56220
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According to our database, Nabizadeh Denal Corporation NPI is 1083844468, taxonomy code is 302R00000X and license number is 56220, license state is located at California. Nabizadeh Denal Corporation physically located at 5204 Yarmouth Ave, Encino CA, 91316-3102. NPI Number 1033115704 has the healthcare provider type.

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1083844468 NPI number is provided on an as is basis without warranty of any kind. 1083844468 is maintained by the National Plan & Provider Enumeration System. The contents of Nabizadeh Denal Corporation are for informational purposes only.