Organization
MARYAM NAVAB DENTAL CORPORATION
Active
Other names
Easy Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYAM NAVAB DDS (DENTIST)
(310) 940-9501
Entity
Organization
Contact information
Practice address
16661 VENTURA BLVD, 208, ENCINO, CA 91436-1914
(310) 940-9501
Mailing address
24632 PARK GRANADA, CALABASAS, CA 91302-1411
(818) 646-0194
(818) 646-0189
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
56465
CA
Other
Enumeration date
02/07/2012
Last updated
09/06/2013
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