| NPI | 1003082074 |
|---|---|
| Doing Business As | BURBANK/GLENDALE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | BEHZAD SHIRAZI ARDESTANI Owner 818-567-4662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2016-04-07 |