Individual provider · Type 1 NPI
Shahab Parsa
Orthodontics and Dentofacial Orthopedics Dentistry · Los Angeles, CA
Practice location
12420 Venice Blvd
Los Angeles, CA 90066-3840
Mailing address
13273 Fiji Way Apt 432
Marina Del Rey, CA 90292-7096
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 019.029967 (IL) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | DDS101386 (CA) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1932504503
Shahab Parsa's National Provider Identifier is 1932504503, issued on Oct 25, 2014. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 21, 2022.