Fotovat, Mehdi
Fotovat, Mehdi is an sole proprietor health care provider with primary practice located at 5445 Laurel Canyon Blvd , Valley Village CA 91607-4661. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Fotovat, Mehdi can be contacted via phone (818) 980-5300.Contact Information
Primary practice address
5445 Laurel Canyon Blvd
Valley Village CA 91607-4661
Phone: (818) 980-5300
Fax: (818) 980-3464
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 38281 | California |
Profile Details
| NPI number | 1982719175 |
|---|---|
| LBN Legal business name | Fotovat, Mehdi |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
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