Provider Demographics
NPI:1588736755
Name:ZAMANI, NAVID (DMD)
Entity type:Individual
Prefix:
First Name:NAVID
Middle Name:
Last Name:ZAMANI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15301 VENTURA BLVD
Mailing Address - Street 2:U-5
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403
Mailing Address - Country:US
Mailing Address - Phone:480-497-2000
Mailing Address - Fax:480-497-2005
Practice Address - Street 1:15301 VENTURA BLVD
Practice Address - Street 2:U-5
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403
Practice Address - Country:US
Practice Address - Phone:480-497-2000
Practice Address - Fax:480-497-2005
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD4650122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist