Organization
HIRI ETESSAMI DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIRBOD ETESSAMI DDS (OWNER PARTNER)
(310) 550-0506
Entity
Organization
Contact information
Practice address
9201 SUNSET BLVD, SUITE 908, LOS ANGELES, CA 90069
(310) 550-0506
(310) 550-0613
Mailing address
9201 SUNSET BLVD, SUITE 908, LOS ANGELES, CA 90069
(310) 550-0506
(310) 550-0613
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
37329
CA
1223E0200X
Endodontics
Primary
DC35209
CA
Other
Enumeration date
09/21/2006
Last updated
03/20/2013
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