| Sherbank Azizi Dental Corporation | |
|
6907 La Tijera Blvd Ste A Los Angeles CA 90045-1906 | |
| (310) 645-0336 | |
| Not Available |
| Full Name | Sherbank Azizi Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6907 La Tijera Blvd Ste A, Los Angeles, California |
| Authorized Official Name and Position | Joseph Azizi (OWNER) |
| Authorized Official Contact | 8187829500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherbank Azizi Dental Corporation 14431 Ventura Blvd Ste 629 Sherman Oaks CA 91423-2606 Ph: (818) 782-9500 | Sherbank Azizi Dental Corporation 6907 La Tijera Blvd Ste A Los Angeles CA 90045-1906 Ph: (310) 645-0336 |
| NPI Number | 1871149930 |
|---|---|
| Provider Enumeration Date | 08/14/2019 |
| Last Update Date | 08/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871149930 | NPI | - | NPPES |
| 1992804652 | Other | NPPES | |
| 1841627825 | Other | CA | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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