Organization · Type 2 NPI

Robert Bootehsaz DMD Inc

Dental Clinic/Center · Tarzana, CA

NPI number 1689087199 Active

Practice location

19458 Ventura Blvd Ste 10
Tarzana, CA 91356-3037

Call (818) 304-8021 Map

Fax (818) 304-8029

Mailing address

19458 Ventura Blvd. Ste 10
Tarzana, CA 91356-3042

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X56953 (CA)

Dental Clinic/Center: Definition to come...

3 other providers at this address

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About NPI 1689087199

Robert Bootehsaz DMD Inc's National Provider Identifier is 1689087199, issued on Jun 3, 2014. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Tarzana, CA. The record was last updated on Jun 3, 2014.