# HIRI ETESSAMI DDS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861591521
- **Authorized official:** DR. HIRBOD ETESSAMI DDS (OWNER PARTNER)
- **Authorized official phone:** (310) 550-0506

## Contact information

- **Practice address:** 9201 SUNSET BLVD, SUITE 908, LOS ANGELES, CA 90069
- **Practice address phone:** (310) 550-0506
- **Practice address fax:** (310) 550-0613
- **Mailing address:** 9201 SUNSET BLVD, SUITE 908, LOS ANGELES, CA 90069
- **Mailing address phone:** (310) 550-0506
- **Mailing address fax:** (310) 550-0613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 37329 | CA | — |
| 1223E0200X | Endodontics | DC35209 | CA | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 03/20/2013