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Organization
SHIRVANI, MICHAEL DENTAL CORPORATION
Active
Organization
SHIRVANI, MICHAEL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SHIRVANI DDS (PRESIDENT)
(818) 326-4684
Entity
Organization
Contact information
Practice address
8654 FOOTHILL BLVD, #B, SUNLAND, CA 91040-1911
(818) 951-7299
Mailing address
8654 FOOTHILL BLVD, #B, SUNLAND, CA 91040-1911
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49995
CA
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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