Individual
AIDA EGHBALIAN NOUZANIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5162 WHITTIER BLVD, LOS ANGELES, CA 90022-3932
(323) 415-6161
Mailing address
28100 CABOT RD, LAGUNA NIGUEL, CA 92677-1299
(949) 414-7844
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
109853
CA
Other
Enumeration date
03/05/2024
Last updated
04/02/2024
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