| Lili Mirtorabi D.d.s., A Professional Corporation | |
|
7722 Seville Ave Huntington Park CA 90255-6316 | |
| (323) 589-3438 | |
| (323) 589-7517 |
| Full Name | Lili Mirtorabi D.d.s., A Professional Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 7722 Seville Ave, Huntington Park, California |
| Authorized Official Name and Position | Lili Mirtorabi (OWNER) |
| Authorized Official Contact | 3235893438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lili Mirtorabi D.d.s., A Professional Corporation 7722 Seville Ave Huntington Park CA 90255-6316 Ph: (323) 589-3438 | Lili Mirtorabi D.d.s., A Professional Corporation 7722 Seville Ave Huntington Park CA 90255-6316 Ph: (323) 589-3438 |
| NPI Number | 1912104894 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 06/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912104894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 42574 (California) | Primary |
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