Iraj Ebrami D.d.s. Inc. | |
16311 Ventura Blvd Ste 640 Encino CA 91436-4319 | |
(818) 905-8337 | |
Not Available |
Full Name | Iraj Ebrami D.d.s. Inc. |
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Speciality | Dentist - General Practice |
Location | 16311 Ventura Blvd Ste 640, Encino, California |
Authorized Official Name and Position | Iraj Ebrami (D.D.S.) |
Authorized Official Contact | 8189058337 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Iraj Ebrami D.d.s. Inc. 16311 Ventura Blvd Ste 640 Encino CA 91436-4319 Ph: (818) 905-8337 | Iraj Ebrami D.d.s. Inc. 16311 Ventura Blvd Ste 640 Encino CA 91436-4319 Ph: (818) 905-8337 |
NPI Number | 1912197062 |
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Provider Enumeration Date | 07/25/2007 |
Last Update Date | 07/25/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912197062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | B32065-01 (California) | Primary |
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