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Organization
MAHDAVI DENTAL CORPORATION
Active
Organization
MAHDAVI DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELHAM MAHDAVI DDS (PRESIDENT/OWNER)
(310) 403-2494
Entity
Organization
Contact information
Practice address
9506 SEPULVEDA BLVD, NORTH HILLS, CA 91343-3306
(818) 891-1136
Mailing address
3738 MEADVILLE DR, SHERMAN OAKS, CA 91403-5001
(310) 403-2494
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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