Individual provider · Type 1 NPI
Pegah Shayesteh Khorram, DDS
General Practice Dentistry · Woodland Hills, CA
NPI number
1164949111
Active
Practice location
22233 Buena Ventura St
Woodland Hills, CA 91364-5007
Fax (818) 624-4846
Mailing address
6846 Reseda Blvd Ste C
Reseda, CA 91335-8512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 101965 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1164949111
Pegah Shayesteh Khorram, DDS's National Provider Identifier is 1164949111, issued on Aug 29, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Woodland Hills, CA. The record was last updated on Mar 9, 2018.