| Mid Valley Endodontics Office Of Afshin Mazdeyasnan Dds A Prof Dental | |
|
18250 Roscoe Blvd Suite 345 Northridge CA 91325 | |
| (818) 885-3636 | |
| (818) 885-1236 |
| Full Name | Mid Valley Endodontics Office Of Afshin Mazdeyasnan Dds A Prof Dental |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 18250 Roscoe Blvd, Northridge, California |
| Authorized Official Name and Position | Afshin Mazdeyasnan (PRINCIPLE OFFICER PRESIDENT) |
| Authorized Official Contact | 8188853636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Valley Endodontics Office Of Afshin Mazdeyasnan Dds A Prof Dental 18250 Roscoe Blvd Suite 345 Northridge CA 91325 Ph: (818) 885-3636 | Mid Valley Endodontics Office Of Afshin Mazdeyasnan Dds A Prof Dental 18250 Roscoe Blvd Suite 345 Northridge CA 91325 Ph: (818) 885-3636 |
| NPI Number | 1831250208 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831250208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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