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Nagwa Metias DDS INC

Dentist in Los Angeles, CA. Organization (NPI-2).

NPI number1861691495
StatusActive
Last updated in NPPESDec 30, 2020

Details

NPI
1861691495
Entity type
Organization (NPI-2)
Legal business name
Nagwa Metias DDS INC
Organization subpart
No
Enumeration date
Jul 13, 2007
Certification date
Dec 30, 2020
Last updated
Dec 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistD44942CAYes

Other names

  • Venice Dental Group (Doing Business As)

Practice location

12563 Venice Blvd
Los Angeles, CA 90066-3712

Phone 310-390-2423 · Fax 310-636-4410

Mailing address

12456 Venice Blvd
Los Angeles, CA 90066-3804

Phone 310-390-2423 · Fax 310-636-4410

Authorized official

Nagwa Ghali Metias
Dentist
3103902423

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