Provider Demographics
NPI:1225804008
Name:RADMANESH DENTAL PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:RADMANESH DENTAL PROFESSIONAL CORPORATION
Other - Org Name:HARMONY DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PARHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RADMANESH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-296-0180
Mailing Address - Street 1:28200 BOUQUET CANYON RD STE M
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350-1453
Mailing Address - Country:US
Mailing Address - Phone:661-296-0180
Mailing Address - Fax:
Practice Address - Street 1:28200 BOUQUET CANYON RD STE M
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91350-1453
Practice Address - Country:US
Practice Address - Phone:661-296-0180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RADMANESH DENTAL PROFESSIONAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental