BEHZAD SHIRAZI ARDESTANI INC A PROFESSIONAL DENTAL CORPORATION NPI 1003082074

NPI Information

BEHZAD SHIRAZI ARDESTANI INC A PROFESSIONAL DENTAL CORPORATION is a dental clinic center in Burbank, CA. BEHZAD SHIRAZI ARDESTANI INC A PROFESSIONAL DENTAL CORPORATION NPI is 1003082074. The provider is registered as an organization entity type.
The provider Is Doing Business As Burbank/glendale Dental Group.

The provider's business location address is:

500 E OLIVE AVE
430
BURBANK, CA
ZIP 91501-316
Phone: (818) 567-4662
Fax: (818) 567-0554

The provider's authorized official is Behzad Shirazi Ardestani .
The authorized official title is Owner and has the following contact phone number (818) 567-4662.

The enumeration date for this NPI number is 4/30/2008 and was last updated on 4/7/2016.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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