| Mostafa Mirzabagi Dds Ms Inc. | |
|
23111 Ventura Blvd Ste 201 Woodland Hills CA 91364-1103 | |
| (818) 591-0945 | |
| (818) 591-7570 |
| Full Name | Mostafa Mirzabagi Dds Ms Inc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 23111 Ventura Blvd, Woodland Hills, California |
| Authorized Official Name and Position | Mostafa Mirzabagi (OWNER) |
| Authorized Official Contact | 8185230945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mostafa Mirzabagi Dds Ms Inc. 23111 Ventura Blvd Ste 201 Woodland Hills CA 91364-1103 Ph: (818) 591-0945 | Mostafa Mirzabagi Dds Ms Inc. 23111 Ventura Blvd Ste 201 Woodland Hills CA 91364-1103 Ph: (818) 591-0945 |
| NPI Number | 1992109888 |
|---|---|
| Provider Enumeration Date | 10/21/2014 |
| Last Update Date | 10/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992109888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 37878 (California) | Primary |
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