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Organization
NASRIN KHORRAM DENTAL CORP.
Active
Organization
NASRIN KHORRAM DENTAL CORP.
Active
Other names
Procare Dental group
Organization subpart
No
Provider details
NPI number
Authorized official
NASRIN KHORRAM DDS (OWNER DENTIST)
(310) 570-3207
Entity
Organization
Contact information
Practice address
21914 VENTURA BLVD, WOODLAND HILLS, CA 91364-1724
(310) 570-3207
Mailing address
944 BERKELEY ST, SANTA MONICA, CA 90403-2308
(310) 570-3207
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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