| Vahik Meserkhani Dds Inc | |
|
520 E Broadway Glendale CA 91205-4926 | |
| (818) 242-4046 | |
| Not Available |
| Full Name | Vahik Meserkhani Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 520 E Broadway, Glendale, California |
| Authorized Official Name and Position | Vahik Meserkhani (OWNER) |
| Authorized Official Contact | 8182424046 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vahik Meserkhani Dds Inc 520 E Broadway Glendale CA 91205-4926 Ph: (818) 242-4046 | Vahik Meserkhani Dds Inc 520 E Broadway Glendale CA 91205-4926 Ph: (818) 242-4046 |
| NPI Number | 1316497126 |
|---|---|
| Provider Enumeration Date | 10/05/2016 |
| Last Update Date | 10/05/2016 |
| Medicare PECOS PAC ID | 8820370901 |
|---|---|
| Medicare Enrollment ID | O20170125001462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316497126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 39843 (California) | Primary |
| Provider Name | Vahik Meserkhani |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1275784183 PECOS PAC ID: 9739461815 Enrollment ID: I20170125001661 |
| Provider Name | Mauricio Fonrodona |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1194822197 PECOS PAC ID: 3678941366 Enrollment ID: I20221130003284 |
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