Individual
DR. KOUROSH KEIKHANZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.SC
Contact information
Practice address
16661 VENTURA BLVD, SUITE #609, ENCINO, CA 91436-1914
(818) 344-3559
Mailing address
16661 VENTURA BLVD, SUITE #609, ENCINO, CA 91436-1914
(818) 344-3559
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
53806
CA
Other
Enumeration date
06/29/2007
Last updated
10/22/2015
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