Provider Demographics
NPI:1386913036
Name:SEPAHI, HILDA (DDS)
Entity type:Individual
Prefix:
First Name:HILDA
Middle Name:
Last Name:SEPAHI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10400 MAGNOLIA BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-4108
Mailing Address - Country:US
Mailing Address - Phone:818-742-4440
Mailing Address - Fax:818-762-4211
Practice Address - Street 1:10400 MAGNOLIA BLVD
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-4108
Practice Address - Country:US
Practice Address - Phone:818-742-4440
Practice Address - Fax:818-762-4211
Is Sole Proprietor?:No
Enumeration Date:2011-12-27
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40304122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist