| Shahab Ebrahimian Dental Group, Inc. | |
|
26560 Agoura Rd Ste 102 Calabasas CA 91302-1949 | |
| (818) 880-4023 | |
| Not Available |
| Full Name | Shahab Ebrahimian Dental Group, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 26560 Agoura Rd Ste 102, Calabasas, California |
| Authorized Official Name and Position | Shahab Ebrahimian (OWNER) |
| Authorized Official Contact | 8183876387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shahab Ebrahimian Dental Group, Inc. 13949 Ventura Blvd Ste 250 Sherman Oaks CA 91423-5734 Ph: (818) 387-6387 | Shahab Ebrahimian Dental Group, Inc. 26560 Agoura Rd Ste 102 Calabasas CA 91302-1949 Ph: (818) 880-4023 |
| NPI Number | 1619480183 |
|---|---|
| Provider Enumeration Date | 11/07/2017 |
| Last Update Date | 11/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619480183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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