Individual
DR. NINUS EBRAHIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1240 S WESTLAKE BLVD STE 127, WESTLAKE VILLAGE, CA 91361-1984
(805) 409-9195
(805) 852-5250
Mailing address
23969 NEWHALL RANCH RD., VALENCIA, CA 91355
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
61374
CA
Other
Enumeration date
08/27/2012
Last updated
03/16/2023
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