Individual
SHAHRIYAR BANIHASHEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10116 RIVERSIDE DR, SUITE 301, TOLUCA LAKE, CA 91602-2563
(818) 766-6126
(818) 766-0730
Mailing address
10116 RIVERSIDE DR, SUITE 301, TOLUCA LAKE, CA 91602-2563
(818) 766-6126
(818) 766-0730
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
36050
CA
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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