Healthcare Provider Details

I. General information

NPI: 1205325354
Provider Name (Legal Business Name): NARBEH BANDARY, DDS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2018
Last Update Date: 05/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 N VERDUGO RD STE 207
GLENDALE CA
91208-1258
US

IV. Provider business mailing address

3600 N VERDUGO RD STE 207
GLENDALE CA
91208-1258
US

V. Phone/Fax

Practice location:
  • Phone: 818-664-4161
  • Fax:
Mailing address:
  • Phone: 818-664-4161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number64631
License Number StateCA

VIII. Authorized Official

Name: DR. NARBEH BANDARY
Title or Position: PRESIDENT
Credential: DDS
Phone: 818-664-4161