| Taheri Dental Practice, Pc | |
|
30313 Canwood St Ste 36 Agoura Hills CA 91301-2094 | |
| (818) 991-6718 | |
| Not Available |
| Full Name | Taheri Dental Practice, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 30313 Canwood St Ste 36, Agoura Hills, California |
| Authorized Official Name and Position | Daniele Capone (COO) |
| Authorized Official Contact | 8189916718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taheri Dental Practice, Pc 30313 Canwood St Ste 36 Agoura Hills CA 91301-2094 Ph: (818) 991-6718 | Taheri Dental Practice, Pc 30313 Canwood St Ste 36 Agoura Hills CA 91301-2094 Ph: (818) 991-6718 |
| NPI Number | 1659084606 |
|---|---|
| Provider Enumeration Date | 01/04/2023 |
| Last Update Date | 01/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659084606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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