# ABNER MAHBOOBIAN DENTAL PARTNERSHIP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ultra Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427700947
- **Authorized official:** DR. OMEED MAHBOOBIAN DDS (PARTNER)
- **Authorized official phone:** (310) 435-5115

## Contact information

- **Practice address:** 800 SAN FERNANDO RD, SAN FERNANDO, CA 91340-3374
- **Practice address phone:** (818) 898-1818
- **Mailing address:** 800 SAN FERNANDO RD, SAN FERNANDO, CA 91340-3374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 01/25/2022
- **Last updated:** 01/25/2022