| Barzivand Dental Corporation | |
|
321 N Larchmont Blvd Ste 722 Los Angeles CA 90004-6407 | |
| (323) 466-8607 | |
| Not Available |
| Full Name | Barzivand Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 321 N Larchmont Blvd Ste 722, Los Angeles, California |
| Authorized Official Name and Position | Payam Barzivand (OWNER) |
| Authorized Official Contact | 8189702528 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barzivand Dental Corporation 121 S Poinsettia Pl Los Angeles CA 90036-2803 Ph: (818) 970-2528 | Barzivand Dental Corporation 321 N Larchmont Blvd Ste 722 Los Angeles CA 90004-6407 Ph: (323) 466-8607 |
| NPI Number | 1699234344 |
|---|---|
| Provider Enumeration Date | 03/12/2019 |
| Last Update Date | 03/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699234344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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