Sohrab Imani D.D.S.

NPI 1073702833 - Dentist - 1223E0200X

NPI Details
NPI 1073702833
Gender Male
Enumeration Date 10/17/2007
Last Updated 08/19/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
12115 SAN VICENTE BLVD UNIT 112
LOS ANGELES CA, 90049-4929, US
Phone (310) 400-0337
Fax
Business Location
12115 SAN VICENTE BLVD UNIT 112
LOS ANGELES CA, 90049-4929, US
Phone (310) 400-0337
Fax
Toxanomy
Taxonomy Code 1223E0200X
License State California
License Number 53073
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According to our database, Dr. Sohrab Imani D.D.S. NPI is 1073702833, taxonomy code is 1223E0200X and license number is 53073, license state is located at California. Sohrab Imani D.D.S. physically located at 12115 San Vicente Blvd Unit 112, Los Angeles CA, 90049-4929. NPI Number Sohrab Imani D.D.S. has the Individual type.

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1073702833 NPI number is provided on an as is basis without warranty of any kind. 1073702833 is maintained by the National Plan & Provider Enumeration System. The contents of Sohrab Imani D.D.S. are for informational purposes only.