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Organization
SHERBANK AZIZI DENTAL CORPORATION
Active
Organization
SHERBANK AZIZI DENTAL CORPORATION
Active
Parent organization
SHERBANK AZIZI DENTAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHERBANK AZIZI DENTAL CORPORATION
Authorized official
JOSEPH AZIZI DDS (OWNER)
(818) 782-9500
Entity
Organization
Contact information
Practice address
6907 LA TIJERA BLVD STE A, LOS ANGELES, CA 90045-1906
(310) 645-0336
Mailing address
14431 VENTURA BLVD STE 629, SHERMAN OAKS, CA 91423-2606
(818) 782-9500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841627825
NPPES
CA
01
—
1992804652
NPPES
—
Enumeration date
08/14/2019
Last updated
08/14/2019
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