Toluca Lake Cosmetic Dentsity | |
10724 Riverside Dr Suite A Toluca Lake CA 91602-2313 | |
(818) 985-5777 | |
Not Available |
Full Name | Toluca Lake Cosmetic Dentsity |
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Speciality | Dentist |
Location | 10724 Riverside Dr, Toluca Lake, California |
Authorized Official Name and Position | Farnoosh Tabesh (PRESIDENT) |
Authorized Official Contact | 4439288336 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Toluca Lake Cosmetic Dentsity 10724 Riverside Dr Suite A Toluca Lake CA 91602-2313 Ph: (818) 985-5777 | Toluca Lake Cosmetic Dentsity 10724 Riverside Dr Suite A Toluca Lake CA 91602-2313 Ph: (818) 985-5777 |
NPI Number | 1982037420 |
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Provider Enumeration Date | 08/20/2013 |
Last Update Date | 08/20/2013 |
Identifier | Type | State | Issuer |
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1982037420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 57822 (California) | Primary |
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