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Organization
GENUINE DENTAL SMILES NORTHRIDGE
Active
Organization
GENUINE DENTAL SMILES NORTHRIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH BARKHORDAR (OFFICE MANAGER)
(818) 709-6464
Entity
Organization
Contact information
Practice address
9535 RESEDA BLVD STE 105, NORTHRIDGE, CA 91324-6023
(818) 709-6464
Mailing address
9535 RESEDA BLVD STE 105, NORTHRIDGE, CA 91324-6023
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61121
CA
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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