Mortezaiefard, Golshan
Mortezaiefard, Golshan is an individual health care provider with primary practice located at 22110 Roscoe Blvd Ste 101, Canoga Park CA 91304. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Mortezaiefard, Golshan can be contacted via phone (818) 888-4004.Contact Information
Primary practice address
22110 Roscoe Blvd Ste 101
Canoga Park CA 91304
Phone: (818) 888-4004
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 39049 | California |
Profile Details
| NPI number | 1790864882 |
|---|---|
| LBN Legal business name | Mortezaiefard, Golshan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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