| F Esfandiari Dental Corporation | |
|
166 N Moorpark Rd Ste 204 Thousand Oaks CA 91360 | |
| (805) 777-7717 | |
| (805) 777-7727 |
| Full Name | F Esfandiari Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 166 N Moorpark Rd Ste 204, Thousand Oaks, California |
| Authorized Official Name and Position | Farshid Frank Esfandiari (OWNER) |
| Authorized Official Contact | 8057777717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| F Esfandiari Dental Corporation 166 N Moorpark Rd Ste 204 Thousand Oaks CA 91360-4420 Ph: (805) 777-7717 | F Esfandiari Dental Corporation 166 N Moorpark Rd Ste 204 Thousand Oaks CA 91360 Ph: (805) 777-7717 |
| NPI Number | 1467633164 |
|---|---|
| Provider Enumeration Date | 11/21/2007 |
| Last Update Date | 05/14/2018 |
| Medicare PECOS PAC ID | 6709140569 |
|---|---|
| Medicare Enrollment ID | O20180502000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467633164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Farshid F Esfandiari |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1891902326 PECOS PAC ID: 0941521157 Enrollment ID: I20180516001264 |
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