Individual
DR. ATIYA BAHMANYAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1600 W GONZALES RD STE C, OXNARD, CA 93036-7789
(805) 755-4371
Mailing address
1174 N EUCLID ST, ANAHEIM, CA 92801-1900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
103115
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2017
Last updated
10/19/2022
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