Wisdom Dental Practice | |
18437 Saticoy St #3 Reseda CA 91335 | |
(818) 705-4025 | |
(818) 705-4026 |
Full Name | Wisdom Dental Practice |
---|---|
Speciality | Dentist |
Location | 18437 Saticoy St, Reseda, California |
Authorized Official Name and Position | Helen Shokri Torabzadeh (PRESIDENT) |
Authorized Official Contact | 8187054025 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wisdom Dental Practice 18437 Saticoy St #3 Reseda CA 91335 Ph: (818) 705-4025 | Wisdom Dental Practice 18437 Saticoy St #3 Reseda CA 91335 Ph: (818) 705-4025 |
NPI Number | 1720254600 |
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Provider Enumeration Date | 05/01/2008 |
Last Update Date | 05/01/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720254600 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 47329 (California) | Primary |
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