Organization
BARZIVAND DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAYAM BARZIVAND (OWNER)
(818) 970-2528
Entity
Organization
Contact information
Practice address
321 N LARCHMONT BLVD STE 722, LOS ANGELES, CA 90004-6407
(323) 466-8607
Mailing address
121 S POINSETTIA PL, LOS ANGELES, CA 90036-2803
(818) 970-2528
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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