National Provider Identifier Database

MASTOUR FARD DENTAL CORP
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

MASTOUR & FARD DENTAL CORP
587 N. VENTU PARK ROAD.
SUITE C
NEWBERRY PARK, CA91320
Phone: 805-499-1253
Fax: 805-499-1453
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for MASTOUR & FARD DENTAL CORP

NPI Number 1548730450
Legal business name
LBN
MASTOUR & FARD DENTAL CORP
Authorized official PEDRAM MASTOUR - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/04/2018
Last updated 10/23/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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