| Dara Kimia Dmd A Dental Corp | |
|
16605 Devonshire St Granada Hills CA 91344-6631 | |
| (480) 619-1415 | |
| Not Available |
| Full Name | Dara Kimia Dmd A Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 16605 Devonshire St, Granada Hills, California |
| Authorized Official Name and Position | Dara Kimia (PRESIDENT) |
| Authorized Official Contact | 4806191415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dara Kimia Dmd A Dental Corp 16605 Devonshire St Granada Hills CA 91344-6631 Ph: (480) 619-1415 | Dara Kimia Dmd A Dental Corp 16605 Devonshire St Granada Hills CA 91344-6631 Ph: (480) 619-1415 |
| NPI Number | 1912458423 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 10/19/2016 |
| Medicare PECOS PAC ID | 5698054898 |
|---|---|
| Medicare Enrollment ID | O20161110001694 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912458423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 61127 (California) | Primary |
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