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Organization
FARIBA AHMADZADEH DENTAL CORP.
Active
Organization
FARIBA AHMADZADEH DENTAL CORP.
Active
Other names
Plaza dental cli nic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARIBA AHMADZADEH D.D.S (0WNER)
(818) 780-8555
Entity
Organization
Contact information
Practice address
7028 VAN NUYS BLVD, VAN NUYS, CA 91405-3059
(818) 780-8555
(818) 780-8477
Mailing address
7028 VAN NUYS BLVD, VAN NUYS, CA 91405-3059
(818) 780-8555
(818) 780-8477
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
45349
CA
Other
Enumeration date
06/22/2007
Last updated
03/30/2016
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