Tabanfar, Micah

Tabanfar, Micah is an individual health care provider with primary practice located at 4404 Nogales Dr , Tarzana CA 91356-5120. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Tabanfar, Micah can be contacted via phone (818) 708-1622.

Contact Information

Primary practice address
4404 Nogales Dr Tarzana CA 91356-5120
Phone: (818) 708-1622
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 106010 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 106010 California

Profile Details

NPI number 1467046953
LBN Legal business name Tabanfar, Micah
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2021
Last updated Jun 12th, 2023 - about 3 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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