Organization
BAYANI POUR DENTAL PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACY POUR DDS (PARTNER OWNER)
(310) 906-8972
Entity
Organization
Contact information
Practice address
17130 VENTURA BLVD # 150, ENCINO, CA 91316-4003
(818) 357-2255
Mailing address
11312 FARLIN ST, LOS ANGELES, CA 90049-3014
(310) 906-8972
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
12/07/2023
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