# FERRAS MASHTOUB, DDS INC.

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

## Provider details

- **NPI number:** 1740772524
- **Authorized official:** DR. FERRAS MASHTOUB DDS (PRESIDENT)
- **Authorized official phone:** (818) 654-6136

## Contact information

- **Practice address:** 19231 VICTORY BLVD STE 352, RESEDA, CA 91335-6352
- **Practice address phone:** (818) 378-5938
- **Mailing address:** 19231 VICTORY BLVD STE 352, RESEDA, CA 91335-6352
- **Mailing address phone:** (818) 378-5938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 55028 | CA | Yes |

## Other

- **Enumeration date:** 06/06/2018
- **Last updated:** 02/23/2024