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POUYAN & KHANIDEH DENTAL CORPORATION NPI 1952678922


NPI Information

NPI: 1952678922
Provider Name: POUYAN & KHANIDEH DENTAL CORPORATION

Doing Business As: ENCINO BRIGHT SMILES DENTAL GROUP, POUYAN & KHANIDEH DENTAL CORP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
15720 VENTURA BLVD STE 609
ENCINO, CA
ZIP 91436
Phone: (818) 385-3500
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POUYAN & KHANIDEH DENTAL CORPORATION is a general practice dentist in Encino, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. POUYAN & KHANIDEH DENTAL CORPORATION NPI is 1952678922. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Encino Bright Smiles Dental Group, Pouyan & Khanideh Dental Corp.

The provider's business location address is:

15720 VENTURA BLVD STE 609
ENCINO, CA
ZIP 91436-733
Phone: (818) 385-3500
Fax: (818) 788-7303

The provider's authorized official is Mehra Pouyan .
The authorized official title is Owner and has the following contact phone number (310) 893-9710.

The enumeration date for this NPI number is 11/18/2011 and was last updated on 7/3/2014.


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
11223G0001XDentistGeneral Practice54944CALIFORNIANo
21223G0001XDentistGeneral Practice54825CALIFORNIAYes

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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