# DANESHGAR ORAL & MAXILLOFACIAL SURGERY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DANESHGAR ORAL & MAXILLOFACIAL SURGERY, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215626882
- **Legal business name:** DANESHGAR ORAL & MAXILLOFACIAL SURGERY, INC.
- **Authorized official:** MR. SHARIAR SHAUN DANESHGAR D.M.D (OWNER)
- **Authorized official phone:** (323) 653-9440

## Contact information

- **Practice address:** 6360 WILSHIRE BOULEVARD, SUITE 403, LOS ANGELES, CA 90048-5606
- **Practice address phone:** (323) 653-9440
- **Practice address fax:** (323) 653-3586
- **Mailing address:** 6360 WILSHIRE BOULEVARD, SUITE 403, LOS ANGELES, CA 90048-5606
- **Mailing address phone:** (323) 653-9440
- **Mailing address fax:** (323) 653-3586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2023
- **Last updated:** 05/01/2023