Organization
SHAHAB EBRAHIMIAN DENTAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHAB EBRAHIMIAN (OWNER)
(818) 387-6387
Entity
Organization
Contact information
Practice address
26560 AGOURA RD STE 102, CALABASAS, CA 91302-1949
(818) 880-4023
Mailing address
13949 VENTURA BLVD STE 250, SHERMAN OAKS, CA 91423-5734
(818) 387-6387
(818) 386-8375
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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