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Organization
POULDAR KIMIA AND LORENZ DENTAL PARTNERSHIP
Active
Organization
POULDAR KIMIA AND LORENZ DENTAL PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARA KIMIA (PRESIDENT)
(480) 619-1415
Entity
Organization
Contact information
Practice address
14912 BURBANK BLVD, SHERMAN OAKS, CA 91411-3609
(480) 619-1415
Mailing address
14912 BURBANK BLVD, SHERMAN OAKS, CA 91411-3609
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61127
CA
1223P0300X
Periodontics
61270
CA
Other
Enumeration date
08/22/2016
Last updated
11/02/2023
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