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Organization

ASTARAEE DENTAL CORP

Active
Other names
Luxe Dental Cosmetics
Organization subpart
No

Provider details

NPI number
Authorized official
NIMA ASTARAEE (DENTIST/CEO)
(619) 261-3933
Entity
Organization

Contact information

Practice address
11980 SAN VICENTE BLVD STE 819, LOS ANGELES, CA 90049-6606
(424) 372-9159
Mailing address
11870 SANTA MONICA BLVD STE 106418, LOS ANGELES, CA 90025-2276

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS101265
CA

Other

Enumeration date
09/06/2018
Last updated
12/12/2024
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