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Organization
SHAHRIARI D D S INC
Active
Organization
SHAHRIARI D D S INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOMA SHAHRIARI DDS (OWNER)
(818) 906-3838
Entity
Organization
Contact information
Practice address
15840 VENTURA BLVD, SUITE 211, ENCINO, CA 91436-2932
(818) 906-3838
Mailing address
15840 VENTURA BLVD, SUITE 211, ENCINO, CA 91436-2932
(818) 906-3838
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
44250
CA
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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