| Radmand Professional Dental Group | |
|
15720 Ventura Blvd 609 Encino CA 91436-2914 | |
| (818) 385-3500 | |
| Not Available |
| Full Name | Radmand Professional Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 15720 Ventura Blvd, Encino, California |
| Authorized Official Name and Position | Reza Radmand (OWNER) |
| Authorized Official Contact | 8183853500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radmand Professional Dental Group 15720 Ventura Blvd 609 Encino CA 91436-2914 Ph: (818) 385-3500 | Radmand Professional Dental Group 15720 Ventura Blvd 609 Encino CA 91436-2914 Ph: (818) 385-3500 |
| NPI Number | 1043494370 |
|---|---|
| Provider Enumeration Date | 12/21/2007 |
| Last Update Date | 12/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043494370 | NPI | - | NPPES |
| G91540-01 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 38118 (California) | Primary |
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