Organization
JUDITH S. PABST, D.D.S.,INC. AND SHOHREH SELKI, D.D.S. A PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE TANASSY (OFFICE MANAGER)
(818) 991-8010
Entity
Organization
Contact information
Practice address
29525 CANWOOD ST STE 201, AGOURA HILLS, CA 91301-4231
(818) 991-8010
Mailing address
29525 CANWOOD ST, STE 201, AGOURA HILLS, CA 91301-4233
(818) 991-8010
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
224160
CA
1223P0221X
Pediatric Dentistry
41051
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
031691
CA
Other
Enumeration date
05/15/2007
Last updated
10/28/2010
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