Orofacial Pain Clinic, Inc

NPI 1114331089 - Dentist - 122300000X

NPI Details
NPI 1114331089
Enumeration Date 06/18/2014
Last Updated 06/18/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name KATAYOUN KATAYOUN
Position D.D.S/PRESIDENT
Phone (310) 423-9600
Fax
Practice Location
444 S SAN VICENTE BLVD STE 1101
LOS ANGELES CA, 90048-4170, US
Phone (310) 423-9600
Fax
Business Location
PO BOX 60790
PASADENA CA, 91116-6790, US
Phone (626) 795-6596
Fax (626) 795-8247
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 45399
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According to our database, Orofacial Pain Clinic, Inc NPI is 1114331089, taxonomy code is 122300000X and license number is 45399, license state is located at California. Orofacial Pain Clinic, Inc physically located at 444 S San Vicente Blvd Ste 1101, Los Angeles CA, 90048-4170. NPI Number 1033115704 has the healthcare provider type.

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1114331089 NPI number is provided on an as is basis without warranty of any kind. 1114331089 is maintained by the National Plan & Provider Enumeration System. The contents of Orofacial Pain Clinic, Inc are for informational purposes only.