Individual
PEJMAN NASIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1835 S BENTLEY AVE APT 6, LOS ANGELES, CA 90025-4324
(310) 922-0221
Mailing address
1835 S BENTLEY AVE APT 6, LOS ANGELES, CA 90025-4324
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60575
CA
Other
Enumeration date
07/22/2011
Last updated
08/09/2021
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