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Organization

ABNER MAHBOOBIAN DENTAL PARTNERSHIP

Active
Other names
Ultra Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OMEED MAHBOOBIAN DDS (PARTNER)
(310) 435-5115
Entity
Organization

Contact information

Practice address
800 SAN FERNANDO RD, SAN FERNANDO, CA 91340-3374
(818) 898-1818
Mailing address
800 SAN FERNANDO RD, SAN FERNANDO, CA 91340-3374

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
261QD0000X
Dental Clinic/Center

Other

Enumeration date
01/25/2022
Last updated
01/25/2022
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