Individual
DR. BONNY HAKIMIRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
10636 WILSHIRE BLVD, APT 204, LOS ANGELES, CA 90024-4592
(310) 525-0444
Mailing address
10636 WILSHIRE BLVD, APT 204, LOS ANGELES, CA 90024-4592
(310) 525-0444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61873
CA
Other
Enumeration date
09/28/2012
Last updated
10/01/2012
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