Homa Shahriari Dds Inc | |
8632 Balboa Blvd Northridge CA 91325-3505 | |
(818) 894-6161 | |
(818) 894-6001 |
Full Name | Homa Shahriari Dds Inc |
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Speciality | Clinic/center - Dental |
Location | 8632 Balboa Blvd, Northridge, California |
Authorized Official Name and Position | Homa Shahriari (OWNER) |
Authorized Official Contact | 8188946161 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Homa Shahriari Dds Inc 8632 Balboa Blvd Northridge CA 91325-3505 Ph: (818) 894-6161 | Homa Shahriari Dds Inc 8632 Balboa Blvd Northridge CA 91325-3505 Ph: (818) 894-6161 |
NPI Number | 1841485059 |
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Provider Enumeration Date | 09/11/2007 |
Last Update Date | 09/11/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841485059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 44258 (California) | Primary |
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