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Organization
HALEH SHAHEEDY,DMD, INC.
Active
Organization
HALEH SHAHEEDY,DMD, INC.
Active
Other names
Smiles For All
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HALEH SHAHEEDY DMD (OWNER)
(818) 703-0234
Entity
Organization
Contact information
Practice address
19963 VENTURA BLVD, WOODLAND HILLS, CA 91364-2631
(818) 703-0234
Mailing address
19963 VENTURA BLVD, WOODLAND HILLS, CA 91364-2631
(818) 703-0234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
42416
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B4241601
MEDICARE
CA
Enumeration date
06/11/2015
Last updated
07/23/2019
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