Organization
CANBY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BABAK KOHANOFF D.D.S (DENTIST)
(818) 343-4024
Entity
Organization
Contact information
Practice address
18440 SHERMAN WAY, RESEDA, CA 91335
(818) 343-4024
(818) 342-0452
Mailing address
18440 SHERMAN WAY, RESEDA, CA 91335
(818) 343-4024
(818) 342-0452
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37850
CA
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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