Organization
MOSTAFA MIRZABAGI DDS MS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOSTAFA MIRZABAGI ORTHODONTIST (OWNER)
(818) 523-0945
Entity
Organization
Contact information
Practice address
23111 VENTURA BLVD, STE 201, WOODLAND HILLS, CA 91364-1103
(818) 591-0945
(818) 591-7570
Mailing address
23111 VENTURA BLVD, STE 201, WOODLAND HILLS, CA 91364-1103
(818) 591-0945
(818) 591-7570
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
37878
CA
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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