Individual
ALFRED PENHASKASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5363 BALBOA BLVD, STE # 226, ENCINO, CA 91316
(818) 788-7091
(818) 788-8876
Mailing address
5363 BALBOA BLVD, STE # 226, ENCINO, CA 91316
(818) 788-7091
(818) 788-8876
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
41514
CA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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