Provider Demographics
NPI:1700208261
Name:AFRAMIAN AND SHAMOEIL DDS, INC.
Entity Type:Organization
Organization Name:AFRAMIAN AND SHAMOEIL DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAMOEIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-332-6292
Mailing Address - Street 1:6512 LAUREL CANYON BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-1521
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6512 LAUREL CANYON BLVD
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-1521
Practice Address - Country:US
Practice Address - Phone:818-332-6292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-17
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59652122300000X
CA58627122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty