| Daraie Dental Group Inc | |
|
5620 Wilbur Avenue Ste 300 Tarzana CA 91356 | |
| (310) 616-6816 | |
| (818) 708-1396 |
| Full Name | Daraie Dental Group Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5620 Wilbur Avenue Ste 300, Tarzana, California |
| Authorized Official Name and Position | Kaveh Tom Daraie (OFFICER) |
| Authorized Official Contact | 3106166816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daraie Dental Group Inc 5620 Wilbur Avenue Ste 300 Tarzana CA 91356 Ph: (310) 616-6816 | Daraie Dental Group Inc 5620 Wilbur Avenue Ste 300 Tarzana CA 91356 Ph: (310) 616-6816 |
| NPI Number | 1831661966 |
|---|---|
| Provider Enumeration Date | 12/31/2018 |
| Last Update Date | 12/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831661966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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