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Organization
FARNOOSH TABESH DDS INC
Active
Organization
FARNOOSH TABESH DDS INC
Active
Other names
Toluca Lake Cosmetic Dentsity
Organization subpart
No
Provider details
NPI number
Authorized official
FARNOOSH TABESH DDS (PRESIDENT)
(443) 928-8336
Entity
Organization
Contact information
Practice address
10724 RIVERSIDE DR, SUITE A, TOLUCA LAKE, CA 91602-2313
(818) 985-5777
Mailing address
10724 RIVERSIDE DR, SUITE A, TOLUCA LAKE, CA 91602-2313
(818) 985-5777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
57822
CA
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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