Pouldar Kimia And Lorenz Dental Partnership | |
14912 Burbank Blvd Sherman Oaks CA 91411-3609 | |
(480) 619-1415 | |
Not Available |
Full Name | Pouldar Kimia And Lorenz Dental Partnership |
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Speciality | Dentist |
Location | 14912 Burbank Blvd, Sherman Oaks, California |
Authorized Official Name and Position | Dara Kimia (PRESIDENT) |
Authorized Official Contact | 4806191415 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pouldar Kimia And Lorenz Dental Partnership 14912 Burbank Blvd Sherman Oaks CA 91411-3609 Ph: () - | Pouldar Kimia And Lorenz Dental Partnership 14912 Burbank Blvd Sherman Oaks CA 91411-3609 Ph: (480) 619-1415 |
NPI Number | 1639624463 |
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Provider Enumeration Date | 08/22/2016 |
Last Update Date | 11/02/2023 |
Medicare PECOS PAC ID | 5092095273 |
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Medicare Enrollment ID | O20161205001164 |
Identifier | Type | State | Issuer |
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1639624463 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 61127 (California) | Primary |
1223P0300X | Dentist - Periodontics | 61270 (California) | Secondary |
Provider Name | Brock Lorenz |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1861839243 PECOS PAC ID: 6901117142 Enrollment ID: I20160517002730 |
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