| Plaza Dental Cli Nic | |
|
7028 Van Nuys Blvd Van Nuys CA 91405-3059 | |
| (818) 780-8555 | |
| (818) 780-8477 |
| Full Name | Plaza Dental Cli Nic |
|---|---|
| Speciality | Dentist |
| Location | 7028 Van Nuys Blvd, Van Nuys, California |
| Authorized Official Name and Position | Fariba Ahmadzadeh (0WNER) |
| Authorized Official Contact | 8187808555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plaza Dental Cli Nic 7028 Van Nuys Blvd Van Nuys CA 91405-3059 Ph: (818) 780-8555 | Plaza Dental Cli Nic 7028 Van Nuys Blvd Van Nuys CA 91405-3059 Ph: (818) 780-8555 |
| NPI Number | 1568668069 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 03/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568668069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 45349 (California) | Primary |
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