Individual
DR. JOSHUA BEHNAM SHAYEFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
420 E 3RD ST STE 1008, LOS ANGELES, CA 90013-1648
(213) 625-7141
Mailing address
432 S SAN VICENTE BLVD STE 200, LOS ANGELES, CA 90048-4192
(310) 895-8362
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11775
CT
1223P0300X
Periodontics
Primary
103757
CA
Other
Enumeration date
03/03/2017
Last updated
09/05/2019
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