Organization
BEHNAZ SEPEHRIPOUR, DDS A PROFESSIONAL DENTAL CORPORATION
Active
Other names
american dental center of canoga park
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEHNAZ SEPEHRIPOUR DDS (OWNER DENTIST)
(818) 883-1234
Entity
Organization
Contact information
Practice address
8320 DESOTO AVE, CANOGA PARK, CA 91304-2701
(818) 883-1234
(818) 883-9781
Mailing address
8320 DESOTO AVE, CANOGA PARK, CA 91304-1746
(818) 883-1234
(818) 883-9781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42224
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9416401
DENTICAL
CA
Enumeration date
02/20/2008
Last updated
01/09/2017
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