Organization
SALINA MAHGEREFTEH DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALINA MAHGEREFTEH (OWNER)
(310) 467-7200
Entity
Organization
Contact information
Practice address
853 WARNER AVE, LOS ANGELES, CA 90024-3327
(310) 467-7200
Mailing address
853 WARNER AVE, LOS ANGELES, CA 90024-3327
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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