M Khaknegar DDS, INC
Dentist in Woodland Hills, CA. Organization (NPI-2).
NPI number1417618778
StatusActive
Last updated in NPPESJan 7, 2022
Details
- NPI
- 1417618778
- Entity type
- Organization (NPI-2)
- Legal business name
- M Khaknegar DDS, INC
- Organization subpart
- No
- Enumeration date
- Jan 7, 2022
- Certification date
- Jan 7, 2022
- Last updated
- Jan 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- Starry Skies Dental (Doing Business As)
Practice location
6024 Fallbrook Ave Ste 201Woodland Hills, CA 91367-3242
Phone 818-835-9019
Mailing address
6024 Fallbrook Ave Ste 201Woodland Hills, CA 91367-3242
Other practice locations
179 N Moorpark Rd Ste C
Thousand Oaks, CA 91360-4401
Thousand Oaks, CA 91360-4401
Phone 805-522-5437
Authorized official
Mohammad Khaknegar
President
8188359019
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