Organization Name: | JUDITH S. PABST, D.D.S.,INC. AND SHOHREH SELKI, D.D.S. A PARTNERSHIP |
NPI Number: | 1053527002 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELAINE TANASSY (OFFICE MANAGER) |
Mailing Address: | 29525 Canwood St Ste 201 Agoura Hills |
State: | CA US |
Postal Code: | 913014231 |
Phone Number: | 8189918010 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 10/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 41051 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |