Individual
DR. BEHZAD SHIRAZI-ARDESTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
500 EAST OLIVE AVE, SUITE 430, BURBANK, CA 91501-2171
(818) 567-4662
Mailing address
500 EAST OLIVE AVE, SUITE 430, BURBANK, CA 91501-2171
(818) 567-4662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37368
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37368
DENTAL LICENSE
CA
Enumeration date
05/02/2007
Last updated
07/08/2007
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