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NPI Code Detail

MEDICARE: ESHAGHIAN & PAZOOKY DENTAL CORPORATION

MEDICARE: ESHAGHIAN & PAZOOKY DENTAL CORPORATION
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
1122300000XDentist59650CA

General Provider Information

NPI Number : 1376909002
Entity Type Code : Organization
Provider Name (Legal Business Name) : ESHAGHIAN & PAZOOKY DENTAL CORPORATION
Provider Business Mailing Address
First Line : 2978 WILSHIRE BLVD
Second Line : #201
City : LOS ANGELES
State : CA
Zip : 90010-1126
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2978 WILSHIRE BLVD
Second Line : #201
City : LOS ANGELES
State : CA
Zip : 90010-1126
Country : US
Telephone Number : 310-933-6033
Fax Number :
Authorized Official
Title or Position : CO-PRESIDENT
Name : SHARONE PAZOOKY
Credential :
Telephone Number : 310-933-6033
Provider Enumeration Date : 01/11/2016
Last Update Date : 01/14/2016

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Directions to “ESHAGHIAN & PAZOOKY DENTAL CORPORATION ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.