Fariba Kohanghadosh, DDS

NPI #1033607189 in Northridge, California

Provider Information

NPI Number: 1033607189
Entity Type: Individual
Name: Fariba Kohanghadosh, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 24, 2018
Last Updated: Apr 24, 2018

Practice Location

Address: 18433 ROSCOE BLVD
City: Northridge
State: California
ZIP Code: 91325-4108
Phone: (818) 882-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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