Organization
NADIA E. TAHERI DENTAL CORPORATION
Active
Other names
Hollywood Smile
Organization subpart
No
Provider details
NPI number
Authorized official
NADIA E. TAHERI DDS (DENTIST)
(818) 999-3805
Entity
Organization
Contact information
Practice address
12903 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-2923
(785) 979-8800
Mailing address
12903 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-2923
(818) 999-3805
(818) 999-3805
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10045
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10045
CALIFORNIA DENTAL BOARD
CA
Enumeration date
12/11/2017
Last updated
03/07/2023
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