# EBI NIKJOO DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285055145
- **Authorized official:** MR. EBI DONOVAN NIKJOO D.D.S. (DENTIST)
- **Authorized official phone:** (310) 208-8551

## Contact information

- **Practice address:** 10921 WILSHIRE BLVD, \#601, LOS ANGELES, CA 90024-3906
- **Practice address phone:** (310) 208-8551
- **Practice address fax:** (818) 881-9005
- **Mailing address:** 10921 WILSHIRE BLVD, \#601, LOS ANGELES, CA 90024-3906
- **Mailing address phone:** (310) 208-8551
- **Mailing address fax:** (818) 881-9005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2013
- **Last updated:** 12/19/2013