Juliet Ebrahimian DDS INC
Dentist in South Pasadena, CA. Organization (NPI-2).
NPI number1851046643
StatusActive
Last updated in NPPESJun 10, 2024
Details
- NPI
- 1851046643
- Entity type
- Organization (NPI-2)
- Legal business name
- Juliet Ebrahimian DDS INC
- Organization subpart
- No
- Enumeration date
- Feb 20, 2022
- Certification date
- Jun 10, 2024
- Last updated
- Jun 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
| 261QD0000X | Clinic/Center, Dental | – | – |
Other names
- Silverlake Smiles (Doing Business As)
Practice location
700 Fair Oaks Ave Ste BSouth Pasadena, CA 91030-2675
Phone 626-421-7171
Mailing address
2129 E Glenoaks BlvdGlendale, CA 91206-2933
Phone 818-307-0416
Other practice locations
2556 Glendale Blvd
Los Angeles, CA 90039-3220
Los Angeles, CA 90039-3220
Phone 818-307-0416
Authorized official
Juliet Ebrahimian
Dentist
8183070416
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