| Pouldar Kimia And Lorenz Dental Partnership | |
|
14912 Burbank Blvd Sherman Oaks CA 91411-3609 | |
| (480) 619-1415 | |
| Not Available |
| Full Name | Pouldar Kimia And Lorenz Dental Partnership |
|---|---|
| Speciality | Dentist |
| Location | 14912 Burbank Blvd, Sherman Oaks, California |
| Authorized Official Name and Position | Dara Kimia (PRESIDENT) |
| Authorized Official Contact | 4806191415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pouldar Kimia And Lorenz Dental Partnership 14912 Burbank Blvd Sherman Oaks CA 91411-3609 Ph: () - | Pouldar Kimia And Lorenz Dental Partnership 14912 Burbank Blvd Sherman Oaks CA 91411-3609 Ph: (480) 619-1415 |
| NPI Number | 1639624463 |
|---|---|
| Provider Enumeration Date | 08/22/2016 |
| Last Update Date | 11/02/2023 |
| Medicare PECOS PAC ID | 5092095273 |
|---|---|
| Medicare Enrollment ID | O20161205001164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639624463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 61270 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | 61127 (California) | Primary |
| Provider Name | Brock Lorenz |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1861839243 PECOS PAC ID: 6901117142 Enrollment ID: I20160517002730 |
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