Individual
KATAYOON SHAFAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12932 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-2924
(818) 761-9000
(818) 761-6067
Mailing address
12932 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-2924
(818) 761-9000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
39706
TX
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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