Organization
MAGHIRAN DENTAL CORP
Active
Organization
MAGHIRAN DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GANI ALVERO MAGHIRAN OFFICE MANAGER (VP)
(818) 486-8093
Entity
Organization
Contact information
Practice address
9506 SEPULVEDA BLVD, NORTH HILLS, CA 91343-3306
(818) 891-1136
(818) 830-5471
Mailing address
9506 SEPULVEDA BLVD, NORTH HILLS, CA 91343-3306
(818) 891-1136
(818) 830-5471
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
44029
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B4402901
DENTICAL
CA
Enumeration date
10/01/2015
Last updated
10/01/2015
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