Provider Demographics
NPI:1982127734
Name:NAVID SENEHI, DDS. MD. INC.
Entity Type:Organization
Organization Name:NAVID SENEHI, DDS. MD. INC.
Other - Org Name:FACIAL & ORAL SURGERY INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SENEHI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MD
Authorized Official - Phone:866-988-3674
Mailing Address - Street 1:6325 TOPANGA CANYON BLVD STE 530
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-2051
Mailing Address - Country:US
Mailing Address - Phone:866-988-3674
Mailing Address - Fax:
Practice Address - Street 1:6325 TOPANGA CANYON BLVD STE 530
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-2051
Practice Address - Country:US
Practice Address - Phone:866-988-3674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA639201223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty