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Organization
IRAJ NOURI DDS INC.
Active
Organization
IRAJ NOURI DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRAJ NOURI DDS (OWNER DENTIST)
(310) 518-2697
Entity
Organization
Contact information
Practice address
1239 N AVALON BLVD, WILMINGTON, CA 90744-2601
(310) 518-2697
(310) 518-6864
Mailing address
1239 N AVALON BLVD, WILMINGTON, CA 90744-2601
(310) 518-2697
(310) 518-6864
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39856
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B39856-01
—
CA
Enumeration date
06/28/2007
Last updated
08/22/2020
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