# 1ST CHOICE DENTAL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699132704
- **Authorized official:** KATAYOON SHAFAGH (OWNER)
- **Authorized official phone:** (818) 761-9000

## Contact information

- **Practice address:** 12932 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-2924
- **Practice address phone:** (818) 761-9000
- **Mailing address:** 12932 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-2924
- **Mailing address phone:** (818) 761-9000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D39706 | TX | Yes |

## Other

- **Enumeration date:** 01/20/2016
- **Last updated:** 01/20/2016