Bamshad Dental Corporation

NPI #1932667631 in Reseda, California

Provider Information

NPI Number: 1932667631
Entity Type: Organization
Organization Name: Bamshad Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Mar 12, 2019
Last Updated: Mar 12, 2019

Practice Location

Address: 19231 VICTORY BLVD STE 458
City: Reseda
State: California
ZIP Code: 91335-6368
Phone: (818) 345-6477

Authorized Official

Name: DR. KEYVAN BAMSHAD, DDS
Title: OWNER/ DENTIST
Phone: (818) 345-6477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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