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Organization
NEDA NAIM DDS APC
Active
Organization
NEDA NAIM DDS APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEDA NAIM DDS (DENTIST)
(310) 479-7852
Entity
Organization
Contact information
Practice address
11645 WILSHIRE BLVD, SUITE 804, LOS ANGELES, CA 90025-1708
(310) 479-7852
(310) 235-1763
Mailing address
11645 WILSHIRE BLVD, SUITE 804, LOS ANGELES, CA 90025-1708
(310) 479-7852
(310) 235-1763
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
44038
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G92651-01
DENTICAL
CA
Enumeration date
05/30/2008
Last updated
05/30/2008
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