Organization
P SHAHBAZIAN DDS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIROUZ SHAHBAZIAN (PRESIDENT)
(310) 280-8234
Entity
Organization
Contact information
Practice address
2885 TAPO ST, SIMI VALLEY, CA 93063-1728
(805) 527-5772
Mailing address
2900 CORDA LN, LOS ANGELES, CA 90049-1105
(310) 280-8234
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/15/2021
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