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Organization
NABIZADEH DENTAL CORPORATION
Active
Organization
NABIZADEH DENTAL CORPORATION
Active
Other names
brite smile dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENNY NABIZADEH DMD (DENTIST)
(310) 435-7586
Entity
Organization
Contact information
Practice address
7111 WINNETKA AVE STE 3, WINNETKA, CA 91306-3673
(310) 435-7586
Mailing address
7111 WINNETKA AVE STE 3, WINNETKA, CA 91306-3673
(310) 435-7586
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
56220
CA
302R00000X
Health Maintenance Organization
56220
CA
Other
Enumeration date
07/21/2009
Last updated
01/31/2022
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