Organization
LILI MIRTORABI, D.D.S., M.S., A PROFESSIONAL CORPORATION
Active
Other names
Lili Mirtorabi Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILI MIRTORABI (OWNER)
(310) 978-4746
Entity
Organization
Contact information
Practice address
11008 VALLEY MALL UNIT 203, EL MONTE, CA 91731-2645
(626) 279-9992
Mailing address
7722 SEVILLE AVE, HUNTINGTON PARK, CA 90255-6316
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
42574
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42574
DENTAL LICENSE
CA
Enumeration date
02/12/2010
Last updated
02/12/2010
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