| Canby Dental | |
|
18440 Sherman Way Reseda CA 91335 | |
| (818) 343-4024 | |
| (818) 342-0452 |
| Full Name | Canby Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18440 Sherman Way, Reseda, California |
| Authorized Official Name and Position | Babak Kohanoff (DENTIST) |
| Authorized Official Contact | 8183434024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canby Dental 18440 Sherman Way Reseda CA 91335 Ph: (818) 343-4024 | Canby Dental 18440 Sherman Way Reseda CA 91335 Ph: (818) 343-4024 |
| NPI Number | 1659770618 |
|---|---|
| Provider Enumeration Date | 08/15/2014 |
| Last Update Date | 08/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659770618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 37850 (California) | Primary |
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