Individual
MARYAM NOURI NOROUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10921 WILSHIRE BLVD STE 912, LOS ANGELES, CA 90024-3906
(310) 579-9710
Mailing address
5110 CATALON AVE, WOODLAND HILLS, CA 91364-3314
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
27640
CA
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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