Tilden Bay Joseph Dental Group | |
14401 Burbank Blvd Sherman Oaks CA 91401-4824 | |
(818) 782-9500 | |
(818) 782-0402 |
Full Name | Tilden Bay Joseph Dental Group |
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Speciality | Dentist |
Location | 14401 Burbank Blvd, Sherman Oaks, California |
Authorized Official Name and Position | Joseph Azizi (PRESIDENT/OWNER) |
Authorized Official Contact | 3104669571 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Tilden Bay Joseph Dental Group 2934 1/2 Beverly Glen Circle #451 451 Los Angeles CA 90077-1724 Ph: (310) 695-1589 | Tilden Bay Joseph Dental Group 14401 Burbank Blvd Sherman Oaks CA 91401-4824 Ph: (818) 782-9500 |
NPI Number | 1750981478 |
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Provider Enumeration Date | 10/30/2020 |
Last Update Date | 10/30/2020 |
Medicare PECOS PAC ID | 8527430289 |
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Medicare Enrollment ID | O20230207002165 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750981478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Provider Name | Joseph Azizi |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1992804652 PECOS PAC ID: 9436521192 Enrollment ID: I20230207002254 |
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