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Organization
N ORTHODONTICS
Active
Organization
N ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NILOUFAR NOURI DDS (ORTHODONTIST/OWNER)
(818) 577-7850
Entity
Organization
Contact information
Practice address
12520 MAGNOLIA BLVD STE 209, VALLEY VILLAGE, CA 91607-2348
(818) 577-7850
Mailing address
11311 ISLETA ST, LOS ANGELES, CA 90049-3022
(818) 577-7850
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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