| Northdrige Dental Group | |
|
9801 Balboa Blvd Northridge CA 91325-1903 | |
| (818) 886-6100 | |
| (818) 886-5207 |
| Full Name | Northdrige Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 9801 Balboa Blvd, Northridge, California |
| Authorized Official Name and Position | Farshid Ariz (DENTIST) |
| Authorized Official Contact | 8188866100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northdrige Dental Group 9801 Balboa Blvd Northridge CA 91325-1903 Ph: (818) 886-6100 | Northdrige Dental Group 9801 Balboa Blvd Northridge CA 91325-1903 Ph: (818) 886-6100 |
| NPI Number | 1174673974 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 05/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174673974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 239847 (California) | Primary |
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