Organization
NIKAEEN DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATOOSA NIKAEEN DDS (OWNER DENTIST)
(818) 225-8800
Entity
Organization
Contact information
Practice address
22949 VENTURA BLVD STE C, WOODLAND HILLS, CA 91364-1271
(818) 225-8800
(818) 225-8826
Mailing address
22949 VENTURA BLVD STE C, WOODLAND HILLS, CA 91364-1271
(818) 225-8800
(818) 225-8826
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43378
DENTIST
CA
Enumeration date
06/04/2021
Last updated
06/04/2021
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