Organization
NIKJOO DENTAL INC
Active
Parent organization
NIKJOO DENTAL INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NIKJOO DENTAL INC
Authorized official
EBI NIKJOO DDS (DOCTOR)
(562) 463-3332
Entity
Organization
Contact information
Practice address
14285 AMAR RD, LA PUENTE, CA 91746-2154
(626) 917-9308
Mailing address
14285 AMAR RD, LA PUENTE, CA 91746-2154
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
12/26/2018
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