Individual
DR. POUYA MOSTAFA VAKILIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
4910 VAN NUYS BLVD STE 102, SHERMAN OAKS, CA 91403-1752
(818) 452-4889
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 590-8000
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
101356
CA
Other
Enumeration date
06/09/2016
Last updated
07/22/2022
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