Pavel Niss Dental Corporation

NPI #1053886044 in North Hills, California

Provider Information

NPI Number: 1053886044
Entity Type: Organization
Organization Name: Pavel Niss Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Oct 5, 2018
Last Updated: Oct 5, 2018

Practice Location

Address: 9050 SEPULVEDA BLVD
City: North Hills
State: California
ZIP Code: 91343-4308
Phone: (323) 683-2668

Authorized Official

Name: DR. PAVEL NISS, DDS
Title: PRESIDENT
Phone: (323) 683-2668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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