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Individual

KHURSHIDAKHON SAIDKARIEV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1531 N DETROIT ST, 309, LOS ANGELES, CA 90046-3258
(323) 445-5966
(323) 445-5966
Mailing address
1531 N DETROIT ST, 309, LOS ANGELES, CA 90046-3258
(323) 445-5966
(323) 445-5966

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
519
CA

Other

Enumeration date
05/19/2014
Last updated
05/19/2014
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