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Organization
AMIN KOHANBASH DDS INC
Active
Organization
AMIN KOHANBASH DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIN KOHANBASH (CEO)
(818) 458-6526
Entity
Organization
Contact information
Practice address
14523 SHERMAN WAY # A, VAN NUYS, CA 91405-2211
(818) 787-7300
Mailing address
14523 SHERMAN WAY # A, VAN NUYS, CA 91405-2211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41745
CA
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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