Individual
DR. PAYMAN KAKOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16133 VENTURA BLVD STE 1100A, ENCINO, CA 91436-2415
(443) 414-8430
Mailing address
18375 VENTURA BLVD # 727, TARZANA, CA 91356-4218
(443) 414-8430
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
56151
CA
Other
Enumeration date
05/19/2008
Last updated
03/28/2024
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