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Organization
1ST CHOICE DENTAL INC
Active
Organization
1ST CHOICE DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATAYOON SHAFAGH (OWNER)
(818) 761-9000
Entity
Organization
Contact information
Practice address
12932 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-2924
(818) 761-9000
Mailing address
12932 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-2924
(818) 761-9000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D39706
TX
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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