| Vossoughi Dental Practice Pc | |
|
14342 Victory Blvd Van Nuys CA 91401-1944 | |
| (818) 488-6062 | |
| Not Available |
| Full Name | Vossoughi Dental Practice Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14342 Victory Blvd, Van Nuys, California |
| Authorized Official Name and Position | Rouzbeh Vossoughi (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 3108061599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vossoughi Dental Practice Pc 12115 San Vicente Blvd Unit 210 Los Angeles CA 90049-4929 Ph: (310) 806-1599 | Vossoughi Dental Practice Pc 14342 Victory Blvd Van Nuys CA 91401-1944 Ph: (818) 488-6062 |
| NPI Number | 1053054148 |
|---|---|
| Provider Enumeration Date | 04/16/2022 |
| Last Update Date | 04/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053054148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
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