Dastmalchian, Shabnam
Dastmalchian, Shabnam is an individual health care provider with primary practice located at 326 N Maclay Ave , San Fernando CA 91340. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Dastmalchian, Shabnam can be contacted via phone (818) 898-9990.Contact Information
Primary practice address
326 N Maclay Ave
San Fernando CA 91340
Phone: (818) 898-9990
Fax: (818) 898-9992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 38981 | California |
Profile Details
| NPI number | 1023221850 |
|---|---|
| LBN Legal business name | Dastmalchian, Shabnam |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023221850 | NPPES |
| California | Other | B3898101 | DENTI CAL |
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