Organization
DR. FADAEI INC
Active
Other names
LA Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
BEHZAD FADAEI D.D.S (DENTIST/OWNER)
(818) 787-6787
Entity
Organization
Contact information
Practice address
7335 VAN NUYS BLVD, #104, VAN NUYS, CA 91405-1998
(818) 787-6787
(818) 787-2119
Mailing address
7335 VAN NUYS BLVD, #104, VAN NUYS, CA 91405-1998
(818) 787-6787
(818) 787-2119
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62751
CA
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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