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9201 W Sunset Blvd Ste 914 West Hollywood CA 90069-3710 | |
| (310) 278-0440 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 9201 W Sunset Blvd Ste 914, West Hollywood, California |
| Authorized Official Name and Position | Matthew Nejad (PRESIDENT) |
| Authorized Official Contact | 3102780440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9201 W Sunset Blvd Ste 914 West Hollywood CA 90069-3710 Ph: (310) 278-0440 | 9201 W Sunset Blvd Ste 914 West Hollywood CA 90069-3710 Ph: (310) 278-0440 |
| NPI Number | 1386189058 |
|---|---|
| Provider Enumeration Date | 01/04/2017 |
| Last Update Date | 09/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386189058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | C3595986 (California) | Primary |
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