| Rafieyan Dental Corp | |
|
13003 Van Nuys Blvd Suite H Pacoima CA 91331 | |
| (818) 834-0011 | |
| (818) 834-0099 |
| Full Name | Rafieyan Dental Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13003 Van Nuys Blvd, Pacoima, California |
| Authorized Official Name and Position | Nazafarin Rafieyan (DENTIST) |
| Authorized Official Contact | 8188340011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rafieyan Dental Corp 13003 Van Nuys Blvd Suit H Pacoima CA 91331 Ph: (818) 834-0011 | Rafieyan Dental Corp 13003 Van Nuys Blvd Suite H Pacoima CA 91331 Ph: (818) 834-0011 |
| NPI Number | 1235438672 |
|---|---|
| Provider Enumeration Date | 03/24/2011 |
| Last Update Date | 07/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235438672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 50984 (California) | Primary |
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