Bamshad Dental Corporation
NPI #1285111070 in Thousand Oaks, California
Provider Information
- NPI Number
- 1285111070
- Entity Type
- Organization
- Organization Name
- Bamshad Dental Corporation
- Primary Specialty
- Dentist
- Enumeration Date
- Jul 24, 2018
- Last Updated
- Jul 24, 2018
Practice Location
- Address
- 253 LOMBARD ST STE A
- City
- Thousand Oaks
- State
- California
- ZIP Code
- 91360-8232
- Phone
- (805) 496-3113
Authorized Official
- Name
- DR. KEYVAN BAMSHAD, DDS
- Title
- OWNER/ DENTIST
- Phone
- (818) 345-6477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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