| Mahdavi Dental Corporation | |
|
9506 Sepulveda Blvd North Hills CA 91343-3306 | |
| (818) 891-1136 | |
| Not Available |
| Full Name | Mahdavi Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9506 Sepulveda Blvd, North Hills, California |
| Authorized Official Name and Position | Elham Mahdavi (PRESIDENT/OWNER) |
| Authorized Official Contact | 3104032494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahdavi Dental Corporation 3738 Meadville Dr Sherman Oaks CA 91403-5001 Ph: (310) 403-2494 | Mahdavi Dental Corporation 9506 Sepulveda Blvd North Hills CA 91343-3306 Ph: (818) 891-1136 |
| NPI Number | 1033623970 |
|---|---|
| Provider Enumeration Date | 11/30/2017 |
| Last Update Date | 11/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033623970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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