MORTEZAIEFARD DENTAL CORP NPI 1720247638

NPI Information

NPI: 1720247638
Provider Name: MORTEZAIEFARD DENTAL CORP
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
22110 ROSCOE BLVD STE 101
WEST HILLS, CA
ZIP 91304
Phone: (818) 888-4004
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MORTEZAIEFARD DENTAL CORP is a dental clinic center in West Hills, CA. MORTEZAIEFARD DENTAL CORP NPI is 1720247638. The provider is registered as an organization entity type.

The provider's business location address is:

22110 ROSCOE BLVD STE 101
WEST HILLS, CA
ZIP 91304-859
Phone: (818) 888-4004

The provider's authorized official is Golsahn Mortezaiefard .
The authorized official title is Owner and has the following contact phone number (818) 888-4004.

The enumeration date for this NPI number is 6/5/2008 and was last updated on 6/5/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	B39049	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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