Organization
POOYAN NASIBI DDS INC
Active
Other names
Montebello Children's Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
POOYAN NASIBI DDS (OWNER DOCTOR)
(323) 597-1195
Entity
Organization
Contact information
Practice address
235 E BEVERLY BLVD, MONTEBELLO, CA 90640-3776
(323) 597-1195
Mailing address
235 E BEVERLY BLVD, MONTEBELLO, CA 90640-3776
(323) 597-1195
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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