Organization
NUGENT BARDI III DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAREEM KIM (ADMINISTRATOR)
(619) 254-8656
Entity
Organization
Contact information
Practice address
14444 VENTURA BLVD, SHERMAN OAKS, CA 91423-2607
(818) 849-6756
Mailing address
3663 TORRANCE BLVD STE 3, TORRANCE, CA 90503-7814
(310) 791-0666
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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