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Organization

NOURIAN DENTAL GROUP, INC.

Active
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Organization

NOURIAN DENTAL GROUP, INC.

Active
Other names
Current Business Name
Organization subpart
No

Provider details

NPI number
Authorized official
SHAHRAM R NOURIAN DDS (PARTNER)
(310) 766-4647
Entity
Organization

Contact information

Practice address
8424 VAN NUYS BLVD, PANORAMA CITY, CA 91402
(818) 893-4222
(818) 893-1083
Mailing address
8424 VAN NUYS BLVD, PANORAMA CITY, CA 91402
(818) 893-4222
(818) 893-1083

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38742
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G9133801
DENTICAL
CA
Enumeration date
03/23/2007
Last updated
11/14/2023
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