| Ebi Nikjoo Dental Corp | |
|
13549 Roscoe Blvd Panorama City CA 91402-5500 | |
| (818) 782-5501 | |
| Not Available |
| Full Name | Ebi Nikjoo Dental Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13549 Roscoe Blvd, Panorama City, California |
| Authorized Official Name and Position | Edi Donovan Nikjoo (CEO) |
| Authorized Official Contact | 8187825501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ebi Nikjoo Dental Corp 13549 Roscoe Blvd Panorama City CA 91402-5500 Ph: (818) 782-5501 | Ebi Nikjoo Dental Corp 13549 Roscoe Blvd Panorama City CA 91402-5500 Ph: (818) 782-5501 |
| NPI Number | 1316315724 |
|---|---|
| Provider Enumeration Date | 09/02/2015 |
| Last Update Date | 12/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316315724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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