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Organization
IRAJ BORNA D.D.S INC
Active
Organization
IRAJ BORNA D.D.S INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRAJ BORNA DDS (PRESIDENT)
(818) 708-7311
Entity
Organization
Contact information
Practice address
6915 RESEDA BLVD UNIT 5, RESEDA, CA 91335-4249
(818) 708-7311
Mailing address
6915 RESEDA BL #5, RESEDA, CA 91335
(818) 708-7311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
B36890
CA
Other
Enumeration date
07/03/2007
Last updated
08/08/2019
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