| NPI | 1477363463 |
|---|---|
| Doing Business As | CANOGA PARK FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MEHDI MORADISERESHT Owner/ Provider 818-918-6595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-01-10 |