| Evan Farr D.d.s Inc | |
|
12115 Saticoy St North Hollywood CA 91605-3025 | |
| (818) 759-1001 | |
| Not Available |
| Full Name | Evan Farr D.d.s Inc |
|---|---|
| Speciality | Dentist |
| Location | 12115 Saticoy St, North Hollywood, California |
| Authorized Official Name and Position | Eavn Farr (CEO) |
| Authorized Official Contact | 8185214049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Farr D.d.s Inc 23705 Vanowen St # 308 West Hills CA 91307-3030 Ph: (818) 521-4049 | Evan Farr D.d.s Inc 12115 Saticoy St North Hollywood CA 91605-3025 Ph: (818) 759-1001 |
| NPI Number | 1598903122 |
|---|---|
| Provider Enumeration Date | 02/04/2009 |
| Last Update Date | 04/17/2009 |
| Medicare PECOS PAC ID | 9739312240 |
|---|---|
| Medicare Enrollment ID | O20140508000993 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598903122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 49261 (California) | Primary |
| Provider Name | Evan Farr |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1699821017 PECOS PAC ID: 0648403154 Enrollment ID: I20140508001236 |
| Provider Name | Tzur Gabi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1033450721 PECOS PAC ID: 0143503813 Enrollment ID: I20170203002251 |
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