| Ebi Nikjoo Dental Corp | |
|
22114 Roscoe Blvd Canoga Park CA 91304-3838 | |
| (818) 348-8713 | |
| Not Available |
| Full Name | Ebi Nikjoo Dental Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 22114 Roscoe Blvd, Canoga Park, California |
| Authorized Official Name and Position | Ebi D Nikjoo (DENTIST) |
| Authorized Official Contact | 8183488713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ebi Nikjoo Dental Corp 22114 Roscoe Blvd Canoga Park CA 91304-3838 Ph: (818) 348-8713 | Ebi Nikjoo Dental Corp 22114 Roscoe Blvd Canoga Park CA 91304-3838 Ph: (818) 348-8713 |
| NPI Number | 1508583659 |
|---|---|
| Provider Enumeration Date | 10/20/2022 |
| Last Update Date | 10/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508583659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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