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Organization
NIKZAD NAFISI DENTAL CORP
Active
Organization
NIKZAD NAFISI DENTAL CORP
Active
Other names
kiss dental care
Organization subpart
No
Provider details
NPI number
Authorized official
GINA CARDARELLA (MANAGER)
(323) 750-1582
Entity
Organization
Contact information
Practice address
600 W MANCHESTER AVE, #2, LOS ANGELES, CA 90044-5770
(323) 750-1582
Mailing address
600 W MANCHESTER AVE, #2, LOS ANGELES, CA 90044-5770
(323) 750-1582
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61481
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972855658
NPI NUMBER
CA
Enumeration date
01/22/2014
Last updated
01/22/2014
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