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Organization
POUYAN & KHANIDEH DENTAL CORPORATION
Active
Organization
POUYAN & KHANIDEH DENTAL CORPORATION
Active
Other names
Encino Bright Smiles Dental Group, Pouyan & Khanideh Dental Corp
Organization subpart
No
Provider details
NPI number
Authorized official
MEHRA POUYAN D.D.S. (OWNER)
(310) 893-9710
Entity
Organization
Contact information
Practice address
15720 VENTURA BLVD STE 609, ENCINO, CA 91436-4733
(818) 385-3500
(818) 788-7303
Mailing address
15720 VENTURA BLVD STE 609, ENCINO, CA 91436-4733
(818) 385-3500
(818) 788-7303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54825
CA
1223G0001X
General Practice Dentistry
54944
CA
Other
Enumeration date
11/18/2011
Last updated
07/03/2014
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