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Organization

LILI MIRTORABI D.D.S A PROFESSIONAL CORPORATION

Active
Parent organization
LILI MIRTORABI, D.D.S., M.S., A PROFESSIONAL CORPORATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
LILI MIRTORABI, D.D.S., M.S., A PROFESSIONAL CORPORATION
Authorized official
MRS. LILI MIRTORABI SR. (OWNER)
(323) 228-9592
Entity
Organization

Contact information

Practice address
2551 W BALL RD, ANAHEIM, CA 92804-4001
(844) 347-5794
Mailing address
7722 SEVILLE AVE, HUNTINGTON PARK, CA 90255-6316
(323) 749-0118
(323) 927-1532

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
09/12/2018
Last updated
02/06/2019
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