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Organization

BEHZAD SHIRAZI ARDESTANI INC A PROFESSIONAL DENTAL CORPORATION

Active
Other names
Burbank/Glendale Dental Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BEHZAD SHIRAZI ARDESTANI (OWNER)
(818) 567-4662
Entity
Organization

Contact information

Practice address
500 E OLIVE AVE, 430, BURBANK, CA 91501-3316
(818) 567-4662
(818) 567-0554
Mailing address
500 E OLIVE AVE, 430, BURBANK, CA 91501-3316
(818) 567-4662
(818) 567-0554

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
G91547-01
CA
Enumeration date
04/30/2008
Last updated
04/07/2016
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