Individual
DR. AMIR EBRAHIM KAZIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
250 W OCEAN BLVD APT 1606, LONG BEACH, CA 90802-7945
(301) 335-1249
Mailing address
250 W OCEAN BLVD APT 1606, LONG BEACH, CA 90802-7945
(301) 335-1249
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100077
CA
122300000X
Dentist
DE60587475
WA
Other
Enumeration date
09/27/2015
Last updated
09/27/2021
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