Mitra Elisha Simanian DDS

NPI 1003097783 - Dentist - 122300000X

NPI Details
NPI 1003097783
Gender Female
Enumeration Date 11/21/2007
Last Updated 11/21/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1200 ROSECRANS AVE STE 210
MANHATTAN BEACH CA, 90266-2470, US
Phone (310) 414-0620
Fax (310) 414-0689
Business Location
1200 ROSECRANS AVE STE 210
MANHATTAN BEACH CA, 90266-2470, US
Phone (310) 414-0620
Fax (310) 414-0689
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 43562
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According to our database, Dr. Mitra Elisha Simanian DDS NPI is 1003097783, taxonomy code is 122300000X and license number is 43562, license state is located at California. Mitra Elisha Simanian DDS physically located at 1200 Rosecrans Ave Ste 210, Manhattan Beach CA, 90266-2470. NPI Number Mitra Elisha Simanian DDS has the Individual type.

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1003097783 NPI number is provided on an as is basis without warranty of any kind. 1003097783 is maintained by the National Plan & Provider Enumeration System. The contents of Mitra Elisha Simanian DDS are for informational purposes only.