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Mastour & Fard Dental Corp
Preferred Provider Organization in Newberry Park, California
NPI 1548730450

Mastour & Fard Dental Corp is a Preferred Provider Organization based in Culver City, CA. Mastour & Fard Dental Corp practices in Newberry Park, CA. The NPI Number for Mastour & Fard Dental Corp is 1548730450 and holds a License No. (California).

The current practice location address for Mastour & Fard Dental Corp is 587 N. Ventu Park Road., Newberry Park, CA and can be reached out via phone at 805-499-1253 and via fax at 805-499-1453.

Location: 587 N. Ventu Park Road., Newberry Park, CA, 90230-5508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548730450
Provider Name
Mastour & Fard Dental Corp
Credential
Provider Entity Type
Organization
Address
587 N. Ventu Park Road., Newberry Park, CA, 90230-5508
Phone Number
805-499-1253
Fax Number
805-499-1453
Provider Enumeration Date
12/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
587 N. Ventu Park Road.
City
Newberry Park
State
California
Zip
91320
Phone Number
805-499-1253
Fax Number
805-499-1453
person
Provider Business Mailing Address Details
Address
587 N. Ventu Park Road.
City
Newberry Park
State
California
Zip
91320
Phone Number
805-499-1253
Fax Number
805-499-1453
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
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Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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