Individual
DR. LILY GHAFOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.
Contact information
Practice address
9201 W SUNSET BLVD, SUITE 200, LOS ANGELES, CA 90069-3701
(310) 273-5775
Mailing address
9919 ANTHONY PL, BEVERLY HILLS, CA 90210-2001
(310) 858-1374
(310) 858-6776
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
53064
CA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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