Sherman Way Orthodontics
Clinic/Center, Dental in Reseda, CA. Organization (NPI-2).
NPI number1679014237
StatusActive
Last updated in NPPESMar 16, 2017
Details
- NPI
- 1679014237
- Entity type
- Organization (NPI-2)
- Legal business name
- Sherman Way Orthodontics
- Organization subpart
- No
- Enumeration date
- Mar 16, 2017
- Last updated
- Mar 16, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 56913 | CA | Yes |
Practice location
18305 Sherman Way # 5Reseda, CA 91335-4425
Phone 310-806-1599
Mailing address
18305 Sherman Way # 5Reseda, CA 91335-4425
Phone 310-806-1599
Authorized official
Rouzbeh Vossoughi
Partner
3108061599
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