Individual
DR. ANAHITA BEHSHADPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
14435 HAMLIN ST STE 205, VAN NUYS, CA 91401-6205
(818) 997-6300
Mailing address
14435 HAMLIN ST STE 205, VAN NUYS, CA 91401-6205
(818) 997-6300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
103803
CA
1223P0300X
Periodontics
Primary
103803
CA
1223P0300X
Periodontics
S4-135C
NV
Other
Enumeration date
06/21/2019
Last updated
12/19/2024
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