Organization
DENTIST NEAR ME CULVER CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE GUIRGUIS DDS (CEO)
(310) 837-8087
Entity
Organization
Contact information
Practice address
4310 OVERLAND AVE, CULVER CITY, CA 90230-4117
(310) 837-8087
Mailing address
4310 OVERLAND AVE, CULVER CITY, CA 90230-4117
(310) 837-8087
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083135933
—
CA
Enumeration date
05/29/2023
Last updated
05/29/2023
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