Mortezaiefard Dental Corp
NPI #1720247638 in West Hills, California
Provider Information
- NPI Number
- 1720247638
- Entity Type
- Organization
- Organization Name
- Mortezaiefard Dental Corp
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 5, 2008
- Last Updated
- Jun 5, 2008
Practice Location
- Address
- 22110 ROSCOE BLVD STE 101
- City
- West Hills
- State
- California
- ZIP Code
- 91304-3859
- Phone
- (818) 888-4004
Authorized Official
- Name
- GOLSAHN MORTEZAIEFARD
- Title
- OWNER
- Phone
- (818) 888-4004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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