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1164949111
PEGAH SHAYESTEH KHORRAM
WOODLAND HILLS, CA
NPI
1164949111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 101965)
Enumeration Date
2017-08-29
Last Update Date
2018-03-09
Business Address
PEGAH SHAYESTEH KHORRAM DDS
22233 BUENA VENTURA ST
WOODLAND HILLS, CA 91364-5007
Phone number: 818-624-4846
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Mailing Address
PEGAH SHAYESTEH KHORRAM DDS
6846 RESEDA BLVD STE C
RESEDA, CA 91335-8512
Phone number: 818-578-5170
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