Ebi Nikjoo Dds Inc | |
10921 Wilshire Blvd Ste 601 Los Angeles CA 90024-4003 | |
(310) 208-8551 | |
(310) 208-1199 |
Full Name | Ebi Nikjoo Dds Inc |
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Speciality | Clinic/center - Dental |
Location | 10921 Wilshire Blvd Ste 601, Los Angeles, California |
Authorized Official Name and Position | Ebi Nikjoo (OWNER) |
Authorized Official Contact | 3102088551 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ebi Nikjoo Dds Inc 10921 Wilshire Blvd Ste 601 Los Angeles CA 90024-4003 Ph: (310) 208-8551 | Ebi Nikjoo Dds Inc 10921 Wilshire Blvd Ste 601 Los Angeles CA 90024-4003 Ph: (310) 208-8551 |
NPI Number | 1487294948 |
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Provider Enumeration Date | 01/13/2020 |
Last Update Date | 01/13/2020 |
Identifier | Type | State | Issuer |
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1487294948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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