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Individual

DR. ROSTAM FOROOGHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
15720 VENTURA BLVD, SUITE# 311, ENCINO, CA 91436-2914
(818) 906-3933
Mailing address
15720 VENTURA BLVD, SUITE# 311, ENCINO, CA 91436-2914
(818) 906-3933

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
40590
CA

Other

Enumeration date
12/16/2007
Last updated
12/16/2007
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