# DR. KIMIA A DENTAL CORP

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

## Provider details

- **NPI number:** 1285249425
- **Authorized official:** DARA KIMIA DMD (PRESIDENT)
- **Authorized official phone:** (480) 619-1415

## Contact information

- **Practice address:** 15720 VENTURA BLVD STE 322, ENCINO, CA 91436-2993
- **Practice address phone:** (480) 619-1415
- **Mailing address:** 16605 DEVONSHIRE ST, GRANADA HILLS, CA 91344-6651
- **Mailing address phone:** (480) 619-1415
- **Mailing address fax:** (818) 366-7964

## Taxonomy

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

## Other

- **Enumeration date:** 09/14/2020
- **Last updated:** 09/14/2020