Mashreghi Dmd Dental Corporation
Dentist, General Practice in North Hollywood, CA. Organization (NPI-2).
NPI number1982012258
StatusActive
Last updated in NPPESApr 16, 2018
Details
- NPI
- 1982012258
- Entity type
- Organization (NPI-2)
- Legal business name
- Mashreghi Dmd Dental Corporation
- Organization subpart
- No
- Enumeration date
- Jul 30, 2014
- Last updated
- Apr 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
5754 Willowcrest AveNorth Hollywood, CA 91601-2122
Phone 323-906-9066 · Fax 323-666-8036
Mailing address
5754 Willowcrest AveNorth Hollywood, CA 91601-2122
Phone 323-906-9066
Authorized official
Alireza Mashreghi
Dentist/Owner
3239069066
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