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Organization
SHAFA & ARSHADNIA DENTAL CORPORATION
Active
Organization
SHAFA & ARSHADNIA DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARID SHAFA D.D.S. (PARTNER)
(310) 600-6494
Entity
Organization
Contact information
Practice address
13203 GLADSTONE AVE, SYLMAR, CA 91342-3116
(818) 833-0444
Mailing address
13203 GLADSTONE AVE, SYLMAR, CA 91342-3116
(818) 833-0444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49993
CA
Other
Enumeration date
12/02/2009
Last updated
01/24/2010
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