Organization
EBI NIKJOO DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBI NIKJOO DDS (OWNER)
(310) 208-8551
Entity
Organization
Contact information
Practice address
10921 WILSHIRE BLVD STE 601, LOS ANGELES, CA 90024-4003
(310) 208-8551
(310) 208-1199
Mailing address
10921 WILSHIRE BLVD STE 601, LOS ANGELES, CA 90024-4003
(310) 208-8551
(310) 208-1199
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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