# R. SALMASSIAN DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tarzana Smile Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861890451
- **Authorized official:** MR. AMIR JANNATI (MANAGER)
- **Authorized official phone:** (818) 578-8665

## Contact information

- **Practice address:** 18607 VENTURA BLVD, SUITE 209, TARZANA, CA 91356-4159
- **Practice address phone:** (818) 578-8665
- **Practice address fax:** (818) 578-8684
- **Mailing address:** 18607 VENTURA BOULEVARD, SUITE 209, TARZANA, CA 91356
- **Mailing address phone:** (818) 578-8665
- **Mailing address fax:** (818) 578-8684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 59605 | CA | — |
| 122300000X | Dentist | 61819 | CA | — |
| 122300000X | Dentist | 62971 | CA | — |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223E0200X | Endodontics | 56385 | CA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 53244 | CA | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 51518 | CA | — |

## Other

- **Enumeration date:** 12/12/2014
- **Last updated:** 12/12/2014
