Shahram Nouri Dental Corp.

NPI #1356587703 in Northridge, California

Provider Information

NPI Number: 1356587703
Entity Type: Organization
Organization Name: Shahram Nouri Dental Corp.
Primary Specialty: Dentist
Enumeration Date: Jan 6, 2009
Last Updated: Jan 21, 2009

Practice Location

Address: 9068 TAMPA AVE
City: Northridge
State: California
ZIP Code: 91324-3523
Phone: (818) 885-5200

Authorized Official

Name: DR. SHAHRAM NOURI, D.D.S
Title: PRESIDENT
Phone: (818) 885-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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