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Organization
SHAHRAM NOURI DENTAL CORP.
Active
Organization
SHAHRAM NOURI DENTAL CORP.
Active
Parent organization
SHAHRAM NOURI DENTAL CORP.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHAHRAM NOURI DENTAL CORP.
Authorized official
SHAHRAM NOURI (DENTIST)
(818) 885-5200
Entity
Organization
Contact information
Practice address
5216 LAUREL CANYON BLVD, VALLEY VILLAGE, CA 91607-2710
(818) 769-1347
(818) 769-3563
Mailing address
9318 RESEDA BLVD, NORTHRIDGE, CA 91324-2926
(818) 885-5200
(818) 885-0087
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
48974
CA
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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