| Sina Banankhah Dental Corporation | |
|
12930 Ventura Blvd Ste 226b Studio City CA 91604-2200 | |
| (818) 287-0910 | |
| Not Available |
| Full Name | Sina Banankhah Dental Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 12930 Ventura Blvd Ste 226b, Studio City, California |
| Authorized Official Name and Position | Sina Banankhah (OWNER DENTIST) |
| Authorized Official Contact | 8182870910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sina Banankhah Dental Corporation 12930 Ventura Blvd Ste 226b Studio City CA 91604-2200 Ph: (818) 287-0910 | Sina Banankhah Dental Corporation 12930 Ventura Blvd Ste 226b Studio City CA 91604-2200 Ph: (818) 287-0910 |
| NPI Number | 1144064353 |
|---|---|
| Provider Enumeration Date | 06/21/2024 |
| Last Update Date | 09/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144064353 | NPI | - | NPPES |
| DDS104655 | Other | CA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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