| Tajik Naminik & Koshki Dds Inc | |
|
10545 Victory Blvd North Hollywood CA 91606-3916 | |
| (818) 763-9353 | |
| (818) 763-6227 |
| Full Name | Tajik Naminik & Koshki Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10545 Victory Blvd, North Hollywood, California |
| Authorized Official Name and Position | Kasra Tajik (DENTIST) |
| Authorized Official Contact | 8187639395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tajik Naminik & Koshki Dds Inc 10545 Victory Blvd North Hollywood CA 91606-3916 Ph: (818) 763-9353 | Tajik Naminik & Koshki Dds Inc 10545 Victory Blvd North Hollywood CA 91606-3916 Ph: (818) 763-9353 |
| NPI Number | 1710332838 |
|---|---|
| Provider Enumeration Date | 04/26/2016 |
| Last Update Date | 04/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710332838 | NPI | - | NPPES |
| 63665 | Other | CA | LICENCE |
| 61426 | Other | CA | LICENCE |
| 44505 | Other | CA | LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 63665 (California) | Primary |
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