MEDICARE: HRM DENTAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	53515	CA

General Provider Information

NPI Number	:	1518492610
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HRM DENTAL

Provider Business Mailing Address
First Line	:	12820 VICTORY BLVD
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606
Country	:	US
Telephone Number	:	818-792-4500
Fax Number	:

Provider Business Practice Location Address
First Line	:	12820 VICTORY BLVD
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606
Country	:	US
Telephone Number	:	818-792-4500
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. HUZEFA SAIFEE
Credential	:	DDS
Telephone Number	:	818-462-6968

Provider Enumeration Date	:	04/26/2017
Last Update Date	:	01/26/2026

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