| Pure Dentistry Kids & Adults | |
|
26457 Bouquet Canyon Rd Santa Clarita CA 91350-2396 | |
| (661) 513-9393 | |
| (661) 667-4413 |
| Full Name | Pure Dentistry Kids & Adults |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 26457 Bouquet Canyon Rd, Santa Clarita, California |
| Authorized Official Name and Position | Shahab Ebrahimian (OWNER DOCTOR) |
| Authorized Official Contact | 8183851999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Dentistry Kids & Adults 13949 Ventura Blvd Ste 250 Sherman Oaks CA 91423-3584 Ph: (818) 385-1999 | Pure Dentistry Kids & Adults 26457 Bouquet Canyon Rd Santa Clarita CA 91350-2396 Ph: (661) 513-9393 |
| NPI Number | 1104360882 |
|---|---|
| Provider Enumeration Date | 12/14/2016 |
| Last Update Date | 02/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104360882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44473 (California) | Primary |
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