Provider Demographics
NPI:1932698479
Name:NAMINIK AND KOSHKI DDS INC
Entity Type:Organization
Organization Name:NAMINIK AND KOSHKI DDS INC
Other - Org Name:WOODLAND HILLS DENTAL ARTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CORRAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-347-5124
Mailing Address - Street 1:6325 TOPANGA CANYON BLVD STE 322
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-2027
Mailing Address - Country:US
Mailing Address - Phone:818-347-5124
Mailing Address - Fax:818-347-2932
Practice Address - Street 1:6325 TOPANGA CANYON BLVD STE 322
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-2027
Practice Address - Country:US
Practice Address - Phone:818-347-5124
Practice Address - Fax:818-347-2932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-09
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty