| Devonshire Dental Group | |
|
15534 Devonshire St Unit 108 Mission Hills CA 91345-2673 | |
| (818) 894-6411 | |
| (818) 830-5283 |
| Full Name | Devonshire Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 15534 Devonshire St Unit 108, Mission Hills, California |
| Authorized Official Name and Position | Pedram Zarabian (OWNER/PRESIDENT) |
| Authorized Official Contact | 3104240732 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Devonshire Dental Group 15300 Devonshire St Ste 6 Mission Hills CA 91345-2758 Ph: (818) 894-6411 | Devonshire Dental Group 15534 Devonshire St Unit 108 Mission Hills CA 91345-2673 Ph: (818) 894-6411 |
| NPI Number | 1356754139 |
|---|---|
| Provider Enumeration Date | 06/09/2014 |
| Last Update Date | 03/18/2022 |
| Medicare PECOS PAC ID | 0648609545 |
|---|---|
| Medicare Enrollment ID | O20200327001601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356754139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 61479 (California) | Primary |
| Provider Name | Kaveh Kohanof |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1669787701 PECOS PAC ID: 1557790458 Enrollment ID: I20200327001633 |
Devonshire Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15300 Devonshire St Ste 6, Mission Hills, CA 91345 Phone: 818-894-6411 | |
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Devonshire Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15300 Devonshire St, #6, Mission Hills, CA 91345 Phone: 818-894-6411 Fax: 818-830-5283 |