| Sherman Oaks Cosmetic & Implant Dental Group | |
|
4955 Van Nuys Blvd Ste 520 Sherman Oaks CA 91403-1834 | |
| (818) 990-4121 | |
| (818) 990-5194 |
| Full Name | Sherman Oaks Cosmetic & Implant Dental Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 4955 Van Nuys Blvd Ste 520, Sherman Oaks, California |
| Authorized Official Name and Position | Sohail Parham (OWNER) |
| Authorized Official Contact | 8189904121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherman Oaks Cosmetic & Implant Dental Group 4955 Van Nuys Blvd Ste 520 Sherman Oaks CA 91403-1834 Ph: (818) 990-4121 | Sherman Oaks Cosmetic & Implant Dental Group 4955 Van Nuys Blvd Ste 520 Sherman Oaks CA 91403-1834 Ph: (818) 990-4121 |
| NPI Number | 1316186794 |
|---|---|
| Provider Enumeration Date | 02/09/2009 |
| Last Update Date | 11/08/2019 |
| Medicare PECOS PAC ID | 4587096706 |
|---|---|
| Medicare Enrollment ID | O20191108002180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316186794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 38214 (California) | Primary |
| Provider Name | Sohail Parham |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1538280185 PECOS PAC ID: 9537434931 Enrollment ID: I20171011002658 |
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