| Azim Dental Corp | |
|
5953 Laurel Canyon Blvd Ste B Valley Village CA 91607-5224 | |
| (818) 508-7200 | |
| Not Available |
| Full Name | Azim Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5953 Laurel Canyon Blvd Ste B, Valley Village, California |
| Authorized Official Name and Position | Noorullah Azim (PRESIDENT) |
| Authorized Official Contact | 8185087200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azim Dental Corp 5953 Laurel Canyon Blvd Ste B Valley Village CA 91607-5224 Ph: (818) 508-7200 | Azim Dental Corp 5953 Laurel Canyon Blvd Ste B Valley Village CA 91607-5224 Ph: (818) 508-7200 |
| NPI Number | 1164712816 |
|---|---|
| Provider Enumeration Date | 04/14/2011 |
| Last Update Date | 04/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164712816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 59590 (California) | Primary |
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