Individual
DR. PAYAM ATA SANJIDEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
23487 PARK COLOMBO, CALABASAS, CA 91302-2814
(310) 435-7449
Mailing address
23487 PARK COLOMBO, CALABASAS, CA 91302-2814
(310) 435-7449
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
56201
CA
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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