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Organization
MASOOD IMANUEL DMD A DENTAL CORPORATION
Active
Organization
MASOOD IMANUEL DMD A DENTAL CORPORATION
Active
Other names
United Family Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON MASOOD IMANUEL DMD (PRESIDENT)
(818) 899-9999
Entity
Organization
Contact information
Practice address
14150 VAN NUYS BLVD, SUITE 105, ARLETA, CA 91331-5114
(818) 899-9999
(818) 897-0859
Mailing address
14150 VAN NUYS BLVD, SUITE 105, ARLETA, CA 91331-5114
(818) 899-9999
(818) 897-0859
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39418
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G9123601
—
CA
Enumeration date
11/05/2006
Last updated
06/12/2015
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