Shabnam Dastmalchian

NPI #1023221850 in San Fernando, California

Provider Information

NPI Number: 1023221850
Entity Type: Individual
Name: Shabnam Dastmalchian
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: May 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 326 N MACLAY AVE
City: San Fernando
State: California
ZIP Code: 91340
Phone: (818) 898-9990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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