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NPI Code Detail

MEDICARE: DR. BARRY KASHFIAN D.M.D

MEDICARE:  DR. BARRY  KASHFIAN  D.M.D
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
11223P0700XProsthodontics30403MA

General Provider Information

NPI Number : 1801089628
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARRY KASHFIAN D.M.D
Provider Business Mailing Address
First Line : 1917 S CATALINA AVE
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-5515
Country : US
Telephone Number : 310-375-0787
Fax Number :
Provider Business Practice Location Address
First Line : 1917 S CATALINA AVE
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-5515
Country : US
Telephone Number : 310-375-0787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2007
Last Update Date : 08/24/2007

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Directions to “ DR. BARRY KASHFIAN D.M.D” Practice Location

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