| H. Reza Shahmohamadi Dental Corporation | |
|
12509 Oxnard St 201 North Hollywood CA 91606 | |
| (818) 285-5757 | |
| (818) 285-5760 |
| Full Name | H. Reza Shahmohamadi Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 12509 Oxnard St, North Hollywood, California |
| Authorized Official Name and Position | Shahmohammadi Hamid Reza (DENTIST (OWNER)) |
| Authorized Official Contact | 8182855757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| H. Reza Shahmohamadi Dental Corporation 12509 Oxnard St 201 North Hollywood CA 91606 Ph: (818) 285-5757 | H. Reza Shahmohamadi Dental Corporation 12509 Oxnard St 201 North Hollywood CA 91606 Ph: (818) 285-5757 |
| NPI Number | 1639215536 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 07/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639215536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Secondary |
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
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