| Affordable Gentle Dental | |
|
6600a Van Nuys Blvd Van Nuys CA 91405-4617 | |
| (818) 782-5020 | |
| (818) 782-2454 |
| Full Name | Affordable Gentle Dental |
|---|---|
| Speciality | Dentist |
| Location | 6600a Van Nuys Blvd, Van Nuys, California |
| Authorized Official Name and Position | Payam Barzivand (PRESIDENT) |
| Authorized Official Contact | 8187825020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affordable Gentle Dental 6600a Van Nuys Blvd Van Nuys CA 91405-4617 Ph: (818) 782-5020 | Affordable Gentle Dental 6600a Van Nuys Blvd Van Nuys CA 91405-4617 Ph: (818) 782-5020 |
| NPI Number | 1629376827 |
|---|---|
| Provider Enumeration Date | 03/11/2011 |
| Last Update Date | 03/11/2011 |
| Medicare PECOS PAC ID | 3375909740 |
|---|---|
| Medicare Enrollment ID | O20230510002416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629376827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 54590 (California) | Primary |
| Provider Name | Payam Barzivand |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1760678270 PECOS PAC ID: 1355633801 Enrollment ID: I20230510002489 |
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