Fariba Ahmadzadeh Dental Corp.

NPI #1568668069 in Van Nuys, California

Provider Information

NPI Number: 1568668069
Entity Type: Organization
Organization Name: Fariba Ahmadzadeh Dental Corp.
Primary Specialty: Dentist
Enumeration Date: Jun 22, 2007
Last Updated: Mar 30, 2016

Practice Location

Address: 7028 VAN NUYS BLVD
City: Van Nuys
State: California
ZIP Code: 91405-3059
Phone: (818) 780-8555

Authorized Official

Name: DR. FARIBA AHMADZADEH, D.D.S
Title: 0WNER
Phone: (818) 780-8555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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