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Organization
GHASRI DENTAL CORP
Active
Organization
GHASRI DENTAL CORP
Active
Other names
Encino Smile Makeover
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PONEH GHASRI DDS (DENTIST)
(818) 990-5240
Entity
Organization
Contact information
Practice address
16055 VENTURA BLVD STE 1035, ENCINO, CA 91436-2629
(818) 990-5240
(818) 900-2641
Mailing address
16055 VENTURA BLVD STE 1035, ENCINO, CA 91436-2629
(818) 990-5240
(818) 900-2641
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
04/09/2026
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