| Victory Plaza Dental Group Dental Office Of Farnaz Kohan Inc. | |
|
13065 Victory Blvd North Hollywood CA 91606-2925 | |
| (818) 927-0726 | |
| Not Available |
| Full Name | Victory Plaza Dental Group Dental Office Of Farnaz Kohan Inc. |
|---|---|
| Speciality | Dentist |
| Location | 13065 Victory Blvd, North Hollywood, California |
| Authorized Official Name and Position | Farnaz Kohan (DENTIST) |
| Authorized Official Contact | 8189270726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Plaza Dental Group Dental Office Of Farnaz Kohan Inc. 13065 Victory Blvd North Hollywood CA 91606-2925 Ph: (818) 927-0726 | Victory Plaza Dental Group Dental Office Of Farnaz Kohan Inc. 13065 Victory Blvd North Hollywood CA 91606-2925 Ph: (818) 927-0726 |
| NPI Number | 1336685858 |
|---|---|
| Provider Enumeration Date | 01/08/2017 |
| Last Update Date | 01/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336685858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 62906 (California) | Primary |
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