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Organization
DANESHGAR ORAL & MAXILLOFACIAL SURGERY, INC.
Active
Organization
DANESHGAR ORAL & MAXILLOFACIAL SURGERY, INC.
Active
Parent organization
DANESHGAR ORAL & MAXILLOFACIAL SURGERY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DANESHGAR ORAL & MAXILLOFACIAL SURGERY, INC.
Authorized official
MR. SHARIAR SHAUN DANESHGAR D.M.D (OWNER)
(323) 653-9440
Entity
Organization
Contact information
Practice address
6360 WILSHIRE BOULEVARD, SUITE 403, LOS ANGELES, CA 90048-5606
(323) 653-9440
(323) 653-3586
Mailing address
6360 WILSHIRE BOULEVARD, SUITE 403, LOS ANGELES, CA 90048-5606
(323) 653-9440
(323) 653-3586
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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