Individual
DR. ATOOSA NIKAEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11620 WILSHIRE BLVD STE 440, LOS ANGELES, CA 90025-1779
(310) 444-1113
(310) 444-1123
Mailing address
11620 WILSHIRE BLVD STE 440, LOS ANGELES, CA 90025-1779
(310) 444-1113
(310) 444-1123
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
43378
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43378
DENTIST
CA
Enumeration date
11/28/2006
Last updated
06/04/2021
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