Kh Nourishad INC

NPI #1689794745 in Reseda, California

Provider Information

NPI Number: 1689794745
Entity Type: Organization
Organization Name: Kh Nourishad INC
Primary Specialty: Dentist
Enumeration Date: Mar 30, 2007
Last Updated: Nov 17, 2014

Practice Location

Address: 17703 VANOWEN ST
City: Reseda
State: California
ZIP Code: 91335-5602
Phone: (818) 609-0009

Authorized Official

Name: DR. KHASHAYAR NOURISHAD, D.D.S.
Title: CEO
Phone: (818) 609-0009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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