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LYLA BOUSTANI D.D.S. DENTAL CORPORATION NPI 1538585294


NPI Information

NPI: 1538585294
Provider Name: LYLA BOUSTANI D.D.S. DENTAL CORPORATION

Doing Business As: DENTAL SPECIALTY CENTER

Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
12626 RIVERSIDE DR
STE 403
STUDIO CITY, CA
ZIP 91607
Phone: (818) 980-0998
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LYLA BOUSTANI D.D.S. DENTAL CORPORATION is an endodontics dentist in Studio City, CA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. LYLA BOUSTANI D.D.S. DENTAL CORPORATION NPI is 1538585294. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dental Specialty Center.

The provider's business location address is:

12626 RIVERSIDE DR
STE 403
STUDIO CITY, CA
ZIP 91607-420
Phone: (818) 980-0998
Fax: (818) 980-0991

The provider's authorized official is Lyla Boustani .
The authorized official title is President and has the following contact phone number (818) 980-0998.

The enumeration date for this NPI number is 3/5/2014 and was last updated on 3/5/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodonticsNo
21223S0112XDentistOral and Maxillofacial SurgeryNo
31223E0200XDentistEndodonticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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