Organization
LILI MIRTORABI D.D.S., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILI MIRTORABI (OWNER)
(323) 589-3438
Entity
Organization
Contact information
Practice address
7722 SEVILLE AVE, HUNTINGTON PARK, CA 90255-6316
(323) 589-3438
(323) 589-7517
Mailing address
7722 SEVILLE AVE, HUNTINGTON PARK, CA 90255-6316
(323) 589-3438
(323) 589-7517
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
42574
CA
Other
Enumeration date
07/02/2007
Last updated
06/04/2015
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