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Organization
SHAHRAM NOURI DENTAL CORP.
Active
Organization
SHAHRAM NOURI DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRAM NOURI D.D.S (PRESIDENT)
(818) 885-5200
Entity
Organization
Contact information
Practice address
9068 TAMPA AVE, NORTHRIDGE, CA 91324-3523
(818) 885-5200
Mailing address
9068 TAMPA AVE, NORTHRIDGE, CA 91324-3523
(818) 885-5200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
48974
CA
Other
Enumeration date
01/06/2009
Last updated
01/21/2009
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