Individual
BENNY NABIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11607 W WASHINGTON BLVD, LOS ANGELES, CA 90066-5915
(310) 927-7658
Mailing address
1850 VETERAN AVE APT 102, LOS ANGELES, CA 90025-6347
(310) 435-7586
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56220
CA
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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