Provider Demographics
NPI:1124571625
Name:DANESH-PANAHI, BEHZAD (DDS)
Entity Type:Individual
Prefix:DR
First Name:BEHZAD
Middle Name:
Last Name:DANESH-PANAHI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20751 BERDON ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-6808
Mailing Address - Country:US
Mailing Address - Phone:818-497-7170
Mailing Address - Fax:
Practice Address - Street 1:20751 BERDON ST
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-6808
Practice Address - Country:US
Practice Address - Phone:818-497-7170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-01
Last Update Date:2023-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100525122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist