| Encino Esthetics Dental Group | |
|
15720 Ventura Blvd Ste 514 Encino CA 91436-4722 | |
| (818) 990-6653 | |
| (818) 990-5525 |
| Full Name | Encino Esthetics Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15720 Ventura Blvd Ste 514, Encino, California |
| Authorized Official Name and Position | Arash Sabbagh-fard (DENTIST/OWNER) |
| Authorized Official Contact | 8189906653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Encino Esthetics Dental Group 15720 Ventura Blvd Encino CA 91436-2914 Ph: (818) 990-6653 | Encino Esthetics Dental Group 15720 Ventura Blvd Ste 514 Encino CA 91436-4722 Ph: (818) 990-6653 |
| NPI Number | 1962813881 |
|---|---|
| Provider Enumeration Date | 05/13/2014 |
| Last Update Date | 06/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962813881 | NPI | - | NPPES |
| 48007 | Other | CA | DENTAL LICENSE |
| 47525 | Other | CA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48007 (California) | Primary |
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