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Organization
MAURICE FIROUZ, D.D.S., INC.
Active
Organization
MAURICE FIROUZ, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURICE FIROUZ DDS (PRESIDENT)
(310) 447-5790
Entity
Organization
Contact information
Practice address
11645 WILSHIRE BLVD, 1060, LOS ANGELES, CA 90025-1708
(310) 447-5790
Mailing address
11645 WILSHIRE BLVD, SUITE 1060, LOS ANGELES, CA 90025-1708
(310) 447-5790
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
36457
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104985993
DENTICAL
CA
Enumeration date
12/08/2014
Last updated
12/08/2014
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