# SOHRAB MOSHIRI, DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003255852
- **Authorized official:** SOHRAB MOSHIRI DDS, PS (OWNER)
- **Authorized official phone:** (818) 518-5020

## Contact information

- **Practice address:** 23111 VENTURA BLVD, SUITE 202, WOODLAND HILLS, CA 91364-1103
- **Practice address phone:** (818) 518-5020
- **Mailing address:** 23111 VENTURA BLVD, SUITE 202, WOODLAND HILLS, CA 91364-1103
- **Mailing address phone:** (818) 518-5020
- **Mailing address fax:** (818) 222-2588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 53522 | CA | Yes |

## Other

- **Enumeration date:** 06/14/2013
- **Last updated:** 09/11/2013