Organization
AFSHIN MAZDEYASNAN DDS A PROF DENTAL CORP
Active
Other names
Mid Valley Endodontics Office Of Afshin Mazdeyasnan DDS A Prof Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AFSHIN MAZDEYASNAN DDS (PRINCIPLE OFFICER PRESIDENT)
(818) 885-3636
Entity
Organization
Contact information
Practice address
18250 ROSCOE BLVD, SUITE 345, NORTHRIDGE, CA 91325
(818) 885-3636
(818) 885-1236
Mailing address
18250 ROSCOE BLVD, SUITE 345, NORTHRIDGE, CA 91325
(818) 885-3636
(818) 885-1236
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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