Healthcare Provider Details

I. General information

NPI: 1417682451
Provider Name (Legal Business Name): ABRAHAM MOSHE NOAH ZILBERSTEIN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2022
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6354 VAN NUYS BLVD
VAN NUYS CA
91401-2601
US

IV. Provider business mailing address

4700 NOELINE AVE
ENCINO CA
91436-2106
US

V. Phone/Fax

Practice location:
  • Phone: 818-946-0026
  • Fax:
Mailing address:
  • Phone: 818-439-7467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number107654
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number107654
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: