Individual
ASHKAN FOROUGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
18740 VENTURA BLVD, TARZANA, CA 91356
(818) 960-1252
Mailing address
18231 LAKE ENCINO DR, ENCINO, CA 91316-4437
(818) 804-1366
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
65023
CA
1223G0001X
General Practice Dentistry
00203260
CO
Other
Enumeration date
08/25/2015
Last updated
07/21/2022
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