Organization
EBI NIKJOO DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EBI DONOVAN NIKJOO D.D.S. (DENTIST)
(310) 208-8551
Entity
Organization
Contact information
Practice address
10921 WILSHIRE BLVD, #601, LOS ANGELES, CA 90024-3906
(310) 208-8551
(818) 881-9005
Mailing address
10921 WILSHIRE BLVD, #601, LOS ANGELES, CA 90024-3906
(310) 208-8551
(818) 881-9005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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