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Organization
GRANADA HILLS DENTAL GROUP
Active
Organization
GRANADA HILLS DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMRAN RAFIE D.D.S (OWNER)
(818) 363-0200
Entity
Organization
Contact information
Practice address
17656 CHATSWORTH ST, GRANADA HILLS, CA 91344-5601
(818) 363-0200
(818) 363-2167
Mailing address
17656 CHATSWORTH ST, GRANADA HILLS, CA 91344-5601
(818) 363-0200
(818) 363-2167
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40298
CA
Other
Enumeration date
11/04/2014
Last updated
11/10/2014
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