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Organization
FARD & MASTOUR DENTAL CORP
Active
Organization
FARD & MASTOUR DENTAL CORP
Active
Other names
Encino Esthetics Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARASH SABBAGH-FARD DDS (DENTIST/OWNER)
(818) 990-6653
Entity
Organization
Contact information
Practice address
15720 VENTURA BLVD STE 514, ENCINO, CA 91436-4722
(818) 990-6653
(818) 990-5525
Mailing address
15720 VENTURA BLVD, ENCINO, CA 91436-2914
(818) 990-6653
(818) 990-5525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47525
DENTAL LICENSE
CA
01
—
48007
DENTAL LICENSE
CA
Enumeration date
05/13/2014
Last updated
06/04/2020
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