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General NPI Number Information
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NPI Number | 1396382495
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Entity Type | Organization
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Legal Business Name | NARBEH BANDARY DENTAL CORP
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Dates
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Enumeration Date | 12/08/2019
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Last Update Date | 12/08/2019
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Provider Practice Location Address
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Address Line | 4910 VAN NUYS BLVD STE 100
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1718
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Country | US
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Telephone | 818-783-5234
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Fax |
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Provider Business Mailing Address
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Address Line | 3600 N VERDUGO RD STE 207
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City | GLENDALE
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State | CA
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Zip | 91208-1258
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NARBEH BANDARY
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Credential | DDS
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Telephone | 818-606-0122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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