| Tala Eftekhari Dental Corporation | |
|
4955 Van Nuys Blvd Ste 716 Sherman Oaks CA 91403-1843 | |
| (813) 625-4147 | |
| Not Available |
| Full Name | Tala Eftekhari Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4955 Van Nuys Blvd Ste 716, Sherman Oaks, California |
| Authorized Official Name and Position | Tala Eftekhari (PRESIDENT) |
| Authorized Official Contact | 8136254147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tala Eftekhari Dental Corporation 10747 Wilshire Blvd Apt 1308 Los Angeles CA 90024-4409 Ph: (813) 625-4147 | Tala Eftekhari Dental Corporation 4955 Van Nuys Blvd Ste 716 Sherman Oaks CA 91403-1843 Ph: (813) 625-4147 |
| NPI Number | 1629682349 |
|---|---|
| Provider Enumeration Date | 09/01/2020 |
| Last Update Date | 09/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629682349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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