| Dr Mahooti Dental Practice Inc. | |
|
16500 Ventura Blvd Ste 150 Encino CA 91436-2009 | |
| (818) 600-1884 | |
| Not Available |
| Full Name | Dr Mahooti Dental Practice Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16500 Ventura Blvd Ste 150, Encino, California |
| Authorized Official Name and Position | Sheila Mahooti (DENTIST) |
| Authorized Official Contact | 8186001884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mahooti Dental Practice Inc. 16500 Ventura Blvd Ste 150 Encino CA 91436-2009 Ph: (818) 600-1884 | Dr Mahooti Dental Practice Inc. 16500 Ventura Blvd Ste 150 Encino CA 91436-2009 Ph: (818) 600-1884 |
| NPI Number | 1356963318 |
|---|---|
| Provider Enumeration Date | 05/13/2020 |
| Last Update Date | 05/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356963318 | NPI | - | NPPES |
| 50314 | Other | CA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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