NPI: 1992109888 · WOODLAND HILLS, CA 91364 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 10/21/2014
| Authorized Official | MIRZABAGI, MOSTAFA (OWNER) |
| NPI Enumeration Date | 10/21/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 13 | 13 | $3K |