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12509 Oxnard St 201 North Hollywood CA 91606 | |
(818) 285-5757 | |
(818) 285-5760 |
Full Name | |
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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 |
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12509 Oxnard St 201 North Hollywood CA 91606 Ph: (818) 285-5757 | 12509 Oxnard St 201 North Hollywood CA 91606 Ph: (818) 285-5757 |
NPI Number | 1639215536 |
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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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