| Hiri Etessami Dds, Inc. | |
|
9201 Sunset Blvd Suite 908 Los Angeles CA 90069 | |
| (310) 550-0506 | |
| (310) 550-0613 |
| Full Name | Hiri Etessami Dds, Inc. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 9201 Sunset Blvd, Los Angeles, California |
| Authorized Official Name and Position | Hirbod Etessami (OWNER PARTNER) |
| Authorized Official Contact | 3105500506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hiri Etessami Dds, Inc. 9201 Sunset Blvd Suite 908 Los Angeles CA 90069 Ph: (310) 550-0506 | Hiri Etessami Dds, Inc. 9201 Sunset Blvd Suite 908 Los Angeles CA 90069 Ph: (310) 550-0506 |
| NPI Number | 1861591521 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 03/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861591521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 37329 (California) | Secondary |
| 1223E0200X | Dentist - Endodontics | DC35209 (California) | Primary |
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