Babak Kohanoff D.d.s | |
18250 Roscoe Blvd Suite 225 Northridge CA 91325-4226 | |
(818) 349-9151 | |
(818) 349-9170 |
Full Name | Babak Kohanoff D.d.s |
---|---|
Speciality | Dentist |
Location | 18250 Roscoe Blvd, Northridge, California |
Authorized Official Name and Position | Babak Kohanoff (DENTIST) |
Authorized Official Contact | 8183499151 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Babak Kohanoff D.d.s 18250 Roscoe Blvd Suite 225 Northridge CA 91325-4226 Ph: (818) 349-9151 | Babak Kohanoff D.d.s 18250 Roscoe Blvd Suite 225 Northridge CA 91325-4226 Ph: (818) 349-9151 |
NPI Number | 1710386909 |
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Provider Enumeration Date | 08/14/2014 |
Last Update Date | 08/14/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710386909 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 37850 (California) | Primary |
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