Provider Demographics
NPI:1841605151
Name:ASWANI DENTAL CORPORATION
Entity Type:Organization
Organization Name:ASWANI DENTAL CORPORATION
Other - Org Name:EZ DENTAL SPECIALTY GROUP,DENTAL PRACTICE OF POOJA ASWANI DDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:POOJA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASWANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-869-5527
Mailing Address - Street 1:12940 FOOTHILL BOULEVARD, #C
Mailing Address - Street 2:
Mailing Address - City:SAN FERNANDO
Mailing Address - State:CA
Mailing Address - Zip Code:91340
Mailing Address - Country:US
Mailing Address - Phone:818-408-5100
Mailing Address - Fax:818-408-5111
Practice Address - Street 1:12940 FOOTHILL BLVD STE C
Practice Address - Street 2:
Practice Address - City:SAN FERNANDO
Practice Address - State:CA
Practice Address - Zip Code:91340
Practice Address - Country:US
Practice Address - Phone:818-408-5100
Practice Address - Fax:818-408-5111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-25
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental