Community Dental Group, Inc.

LBN: Mastour & Fard Dental Corp
Community Dental Group, Inc. is an health care organization with primary practice located at 587 N. Ventu Park Road. Suite C, Newberry Park CA 91320. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Mastour & Fard Dental Corp can be contacted via phone (805) 499-1253, or through Mastour, Pedram via phone (310) 804-0414.

Contact Information

Primary practice address
587 N. Ventu Park Road. Suite C Newberry Park CA 91320
Phone: (805) 499-1253
Fax: (805) 499-1453
Website:
Map and Directions
Authorized official contact:
Name: Mastour, Pedram Doctor of Dental Surgery (DDS)
Phone: (310) 804-0414

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X

Profile Details

NPI number 1548730450
LBN Legal business name Mastour & Fard Dental Corp
DBA Doing business as Community Dental Group, Inc.
Authorized official Mastour, Pedram Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2018
Last updated Oct 23rd, 2019 - about 6 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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