| Philip Farzad Dds Dental Corp | |
|
16661 Ventura Blvd Ste 815 Encino CA 91436-1914 | |
| (818) 905-7787 | |
| (818) 906-7961 |
| Full Name | Philip Farzad Dds Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16661 Ventura Blvd, Encino, California |
| Authorized Official Name and Position | Philip Farzad (OWNER) |
| Authorized Official Contact | 8189057787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philip Farzad Dds Dental Corp 16661 Ventura Blvd Ste 815 Encino CA 91436-1914 Ph: (818) 905-7787 | Philip Farzad Dds Dental Corp 16661 Ventura Blvd Ste 815 Encino CA 91436-1914 Ph: (818) 905-7787 |
| NPI Number | 1366986101 |
|---|---|
| Provider Enumeration Date | 12/13/2016 |
| Last Update Date | 12/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366986101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 43281 (California) | Primary |
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