Sage, Bina, Korouri Dental Office of La Tijera, Inc.

NPI #1598430019 in Westchester, California

Provider Information

NPI Number: 1598430019
Entity Type: Organization
Organization Name: Sage, Bina, Korouri Dental Office of La Tijera, Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 16, 2021
Last Updated: Sep 17, 2021

Practice Location

Address: 6907 LA TIJERA BLVD STE A
City: Westchester
State: California
ZIP Code: 90045-1906
Phone: (310) 645-0336

Authorized Official

Name: AMIR KOROURI, M.D.
Title: SECRETARY
Phone: (310) 927-5848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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