Individual
ROOBIK EBRAHIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDT
Contact information
Practice address
2101 BROADVIEW DR STE C, GLENDALE, CA 91208-1355
(818) 957-0400
(818) 957-0422
Mailing address
2101 BROADVIEW DR STE C, GLENDALE, CA 91208-1355
(818) 957-0400
(818) 957-0422
Taxonomy
Speciality
Code
Description
License number
State
126900000X
Dental Laboratory Technician
Primary
104616-00
CA
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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