| H.imankhan,dds,adc | |
|
23111 Ventura Blvd 104 Woodland Hills CA 91364-1103 | |
| (818) 225-7768 | |
| (818) 225-1138 |
| Full Name | H.imankhan,dds,adc |
|---|---|
| Speciality | Dentist |
| Location | 23111 Ventura Blvd, Woodland Hills, California |
| Authorized Official Name and Position | Hamid Reza Imankhan (PRESIDENT/OWNER) |
| Authorized Official Contact | 8182257768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| H.imankhan,dds,adc 23111 Ventura Blvd 104 Woodland Hills CA 91364-1103 Ph: (818) 225-7768 | H.imankhan,dds,adc 23111 Ventura Blvd 104 Woodland Hills CA 91364-1103 Ph: (818) 225-7768 |
| NPI Number | 1144480096 |
|---|---|
| Provider Enumeration Date | 06/13/2008 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144480096 | NPI | - | NPPES |
| G92843 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 46073 (California) | Primary |
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