| Keyvan Bamshad D.d.s., Inc. | |
|
19231 Victory Blvd Ste 458 Reseda CA 91335-6368 | |
| (818) 345-6477 | |
| (818) 345-1509 |
| Full Name | Keyvan Bamshad D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19231 Victory Blvd Ste 458, Reseda, California |
| Authorized Official Name and Position | Keyvan Bamshad (DENTIST/OWNER) |
| Authorized Official Contact | 8183456477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keyvan Bamshad D.d.s., Inc. 19231 Victory Blvd Ste 458 Reseda CA 91335-6368 Ph: (818) 345-6477 | Keyvan Bamshad D.d.s., Inc. 19231 Victory Blvd Ste 458 Reseda CA 91335-6368 Ph: (818) 345-6477 |
| NPI Number | 1972940252 |
|---|---|
| Provider Enumeration Date | 05/28/2013 |
| Last Update Date | 05/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972940252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 46553 (California) | Primary |
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