Masood Imanuel Dmd a Dental Corporation

NPI #1467531889 in Arleta, California

Provider Information

NPI Number: 1467531889
Entity Type: Organization
Organization Name: Masood Imanuel Dmd a Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Nov 5, 2006
Last Updated: Jun 12, 2015

Practice Location

Address: 14150 VAN NUYS BLVD
Address 2: SUITE 105
City: Arleta
State: California
ZIP Code: 91331-5114
Phone: (818) 899-9999

Authorized Official

Name: DR. SIMON MASOOD IMANUEL, DMD
Title: PRESIDENT
Phone: (818) 899-9999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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