Encino Esthetics Dental Group

LBN: Fard & Mastour Dental Corp
Encino Esthetics Dental Group is an health care organization with primary practice located at 15720 Ventura Blvd Ste 514 , Encino CA 91436-4722. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Fard & Mastour Dental Corp can be contacted via phone (818) 990-6653, or through Sabbagh-Fard, Arash via phone (818) 990-6653.

Contact Information

Primary practice address
15720 Ventura Blvd Ste 514 Encino CA 91436-4722
Phone: (818) 990-6653
Fax: (818) 990-5525
Website:
Map and Directions
Authorized official contact:
Name: Sabbagh-Fard, Arash Doctor of Dental Surgery (DDS)
Phone: (818) 990-6653

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 48007 California

Profile Details

NPI number 1962813881
LBN Legal business name Fard & Mastour Dental Corp
DBA Doing business as Encino Esthetics Dental Group
Authorized official Sabbagh-Fard, Arash Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2014
Last updated Jun 4th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962813881 NPPES
California Other 48007 DENTAL LICENSE
California Other 47525 DENTAL LICENSE

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