| Edmond Rassibi, D.m.d., Professional Corporation | |
|
21712 Sherman Way Canoga Park CA 91303-1931 | |
| (818) 883-6634 | |
| (818) 839-5626 |
| Full Name | Edmond Rassibi, D.m.d., Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 21712 Sherman Way, Canoga Park, California |
| Authorized Official Name and Position | Edmond Rassibi (CEO) |
| Authorized Official Contact | 8188836634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edmond Rassibi, D.m.d., Professional Corporation 21712 Sherman Way Canoga Park CA 91303-1931 Ph: (818) 883-6634 | Edmond Rassibi, D.m.d., Professional Corporation 21712 Sherman Way Canoga Park CA 91303-1931 Ph: (818) 883-6634 |
| NPI Number | 1346633716 |
|---|---|
| Provider Enumeration Date | 03/10/2015 |
| Last Update Date | 03/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346633716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 54596 (California) | Primary |
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