Individual
DR. AMIN KOHANBASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7335 VAN NUYS BLVD, 101, VAN NUYS, CA 91405-1998
(818) 780-7555
(818) 789-7575
Mailing address
5929 WILBUR AVE, TARZANA, CA 91356-1325
(818) 458-6526
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41745
CA
Other
Enumeration date
12/11/2006
Last updated
02/28/2017
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