# MIRMARASHI&MAKHMALBAFDENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Glendale Dental Arts Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902296395
- **Authorized official:** DR. ALI O. MAKHMALBAF (OWNER)
- **Authorized official phone:** (818) 241-1160

## Contact information

- **Practice address:** 814 E BROADWAY STE 4, GLENDALE, CA 91205-4554
- **Practice address phone:** (818) 241-1160
- **Practice address fax:** (818) 241-1320
- **Mailing address:** 814 E BROADWAY STE 4, GLENDALE, CA 91205-4554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | — | NULL | Yes |
| 1223P0700X | Prosthodontics | — | — | Yes |

## Other

- **Enumeration date:** 01/23/2015
- **Last updated:** 01/23/2015