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Organization
KH NOURISHAD INC
Active
Organization
KH NOURISHAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHASHAYAR NOURISHAD D.D.S. (CEO)
(818) 609-0009
Entity
Organization
Contact information
Practice address
17703 VANOWEN ST, RESEDA, CA 91335-5602
(818) 609-0009
(818) 609-1158
Mailing address
PO BOX 17227, ENCINO, CA 91416-7227
(818) 609-0009
(818) 609-1158
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38892
CA
Other
Enumeration date
03/30/2007
Last updated
11/17/2014
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