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Organization
PHILIP FARZAD DDS DENTAL CORP
Active
Organization
PHILIP FARZAD DDS DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP FARZAD DDS (OWNER)
(818) 905-7787
Entity
Organization
Contact information
Practice address
16661 VENTURA BLVD, STE 815, ENCINO, CA 91436-1914
(818) 905-7787
(818) 906-7961
Mailing address
16661 VENTURA BLVD, STE 815, ENCINO, CA 91436-1914
(818) 905-7787
(818) 906-7961
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43281
CA
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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