Danoukh Dental Corp.
Dentist, General Practice in La Mirada, CA. Organization (NPI-2).
NPI number1124686233
StatusActive
Last updated in NPPESJun 11, 2019
Details
- NPI
- 1124686233
- Entity type
- Organization (NPI-2)
- Legal business name
- Danoukh Dental Corp.
- Organization subpart
- No
- Enumeration date
- Jun 4, 2019
- Last updated
- Jun 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 1223P0300X | Dentist, Periodontics | – | – | |
| 261QD0000X | Clinic/Center, Dental | – | – |
Other names
- My La Mirada Dentist (Doing Business As)
Practice location
12271 La Mirada Blvd Ste 201La Mirada, CA 90638-1336
Phone 562-445-3555
Mailing address
27758 Santa Margarita Pkwy # 382Mission Viejo, CA 92691-6709
Phone 949-510-0225
Authorized official
Ramtin Khaef
Owner
9495100225
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