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Organization
ENSIEH MAZAHERI DDS INC
Active
Organization
ENSIEH MAZAHERI DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENSIEH MAZAHERI (CEO)
(818) 378-8054
Entity
Organization
Contact information
Practice address
14550 HAYNES ST, SUITE 103, VAN NUYS, CA 91411-1613
(818) 378-8054
Mailing address
14550 HAYNES ST, SUITE 103, VAN NUYS, CA 91411-1613
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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