| P Shahbazian Dds Corporation | |
|
2885 Tapo St Simi Valley CA 93063-1728 | |
| (805) 527-5772 | |
| Not Available |
| Full Name | P Shahbazian Dds Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2885 Tapo St, Simi Valley, California |
| Authorized Official Name and Position | Pirouz Shahbazian (PRESIDENT) |
| Authorized Official Contact | 3102808234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| P Shahbazian Dds Corporation 2900 Corda Ln Los Angeles CA 90049-1105 Ph: (310) 280-8234 | P Shahbazian Dds Corporation 2885 Tapo St Simi Valley CA 93063-1728 Ph: (805) 527-5772 |
| NPI Number | 1396326153 |
|---|---|
| Provider Enumeration Date | 04/14/2021 |
| Last Update Date | 04/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396326153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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