Organization
MIKE PIRBAZARI, DDS, PHD. INC
Active
Parent organization
MIKE PIRBAZARI , DDS, PHD, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIKE PIRBAZARI , DDS, PHD, INC.
Authorized official
MIKE PIRBAZARI D.D.S, PH.D (EMDODONTIST, OWNER)
(310) 264-1711
Entity
Organization
Contact information
Practice address
1807 WILSHIRE BLVD.,, SUITE A, SANTA MONICA, CA 90403
(310) 264-1711
(310) 453-6486
Mailing address
269 S. BEVERLY DR.,, SUITE 436, BEVERLY HILLS, CA 90212
(310) 339-3836
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
35447
CA
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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