Organization
MASTOUR & FARD DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARASH SABBAGH FARD (OWNER)
(805) 499-1253
Entity
Organization
Contact information
Practice address
587 N VENTU PARK RD STE C, NEWBURY PARK, CA 91320-2743
(805) 499-1253
Mailing address
587 N VENTU PARK RD STE C, NEWBURY PARK, CA 91320-2743
(805) 499-1253
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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