Organization
NINUS EBRAHIMI, DMD, A DENTAL CORPORATION
Active
Other names
North Star Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
NINUS EBRAHIMI DMD (OWNER)
(805) 409-9195
Entity
Organization
Contact information
Practice address
1240 S WESTLAKE BLVD STE 127, WESTLAKE VILLAGE, CA 91361-1984
(805) 409-9195
Mailing address
1240 S WESTLAKE BLVD STE 127, WESTLAKE VILLAGE, CA 91361-1984
(805) 409-9195
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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