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Organization
SHAY S SALEHRABI DDS INC
Active
Organization
SHAY S SALEHRABI DDS INC
Active
Other names
Dentistry For Children & Adults
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAY S SALEHRABI DDS (PRESIDENT)
(818) 904-1444
Entity
Organization
Contact information
Practice address
16260 VENTURA BLVD, SUITE 410, ENCINO, CA 91436-2203
(818) 904-1444
(818) 904-1446
Mailing address
PO BOX 7917, VAN NUYS, CA 91409
(818) 904-1444
(818) 904-1446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40982
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B40982
—
CA
Enumeration date
10/27/2006
Last updated
10/07/2011
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