| Daneshgar Oral & Maxillofacial Surgery, Inc. | |
|
6360 Wilshire Boulevard Suite 403 Los Angeles CA 90048-5606 | |
| (323) 653-9440 | |
| (323) 653-3586 |
| Full Name | Daneshgar Oral & Maxillofacial Surgery, Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 6360 Wilshire Boulevard, Los Angeles, California |
| Authorized Official Name and Position | Shariar Shaun Daneshgar (OWNER) |
| Authorized Official Contact | 3236539440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daneshgar Oral & Maxillofacial Surgery, Inc. 6360 Wilshire Boulevard Suite 403 Los Angeles CA 90048-5606 Ph: (323) 653-9440 | Daneshgar Oral & Maxillofacial Surgery, Inc. 6360 Wilshire Boulevard Suite 403 Los Angeles CA 90048-5606 Ph: (323) 653-9440 |
| NPI Number | 1215626882 |
|---|---|
| Provider Enumeration Date | 05/01/2023 |
| Last Update Date | 05/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215626882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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