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Organization
SHAHRAM HOSSEINI, DDS, INC.
Active
Organization
SHAHRAM HOSSEINI, DDS, INC.
Active
Other names
Westlake Village Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAHRAM HOSSEINI D.D.S (GENERAL DENTIST)
(805) 495-7212
Entity
Organization
Contact information
Practice address
1240 SOUTH WESTLAKE BLVD., SUITE 201, WESTLAKE VILLAGE, CA 91361-1990
(805) 495-7212
(805) 230-9218
Mailing address
1240 SOUTH WESTLAKE BLVD., SUITE 201, WESTLAKE VILLAGE, CA 91361-1990
(805) 495-7212
(805) 230-9218
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53068
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9352901
DENTICAL
CA
Enumeration date
08/17/2007
Last updated
03/24/2017
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