Organization
HOMA SHAHRIARI DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOMA SHAHRIARI D.D.S. (OWNER)
(818) 894-6161
Entity
Organization
Contact information
Practice address
8632 BALBOA BLVD, NORTHRIDGE, CA 91325-3505
(818) 894-6161
(818) 894-6001
Mailing address
8632 BALBOA BLVD, NORTHRIDGE, CA 91325-3505
(818) 894-6161
(818) 894-6001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
44258
CA
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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