| Ensieh Mazaheri Dds Inc | |
|
14550 Haynes St Suite 103 Van Nuys CA 91411-1613 | |
| (818) 378-8054 | |
| Not Available |
| Full Name | Ensieh Mazaheri Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 14550 Haynes St, Van Nuys, California |
| Authorized Official Name and Position | Ensieh Mazaheri (CEO) |
| Authorized Official Contact | 8183788054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ensieh Mazaheri Dds Inc 14550 Haynes St Suite 103 Van Nuys CA 91411-1613 Ph: () - | Ensieh Mazaheri Dds Inc 14550 Haynes St Suite 103 Van Nuys CA 91411-1613 Ph: (818) 378-8054 |
| NPI Number | 1619315876 |
|---|---|
| Provider Enumeration Date | 06/10/2013 |
| Last Update Date | 06/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619315876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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