Organization
ROSHANAK HAGHSHENAS DDS INC
Active
Other names
roshanak haghshenasdds inc, roshanak haghshenas Dds
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSHANAK HAGHSHENAS DDS (OWNER)
(424) 429-9107
Entity
Organization
Contact information
Practice address
7940 ATLANTIC AVE, CUDAHY, CA 90201-5773
(424) 429-9107
(424) 429-9108
Mailing address
7940 ATLANTIC AVE, CUDAHY, CA 90201-5773
(424) 429-9107
(424) 429-9108
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87-148431
—
CA
Enumeration date
07/02/2021
Last updated
07/05/2021
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