Individual
BAHARAK GHAFFARZADEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4346 MATILIJA AVE #107, SHERMAN OAKS, CA 91423
(818) 468-6458
Mailing address
4346 MATILIJA AVE APT 107, SHERMAN OAKS, CA 91423-3602
(818) 468-6458
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
63623
CA
Other
Enumeration date
08/21/2014
Last updated
08/22/2014
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