Organization
ANAHITA BEHSHADPOUR DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANAHITA BEHSHADPOUR DDS (PRESIDENT)
(818) 669-4200
Entity
Organization
Contact information
Practice address
14435 HAMLIN ST STE 205, VAN NUYS, CA 91401-6205
(818) 669-4200
Mailing address
5354 YARMOUTH AVE APT 27, ENCINO, CA 91316-3173
(818) 669-4200
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
06/10/2024
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