| Lili Mirtorabi, D.d.s., A Professional Corporation | |
|
15106 Hawthorne Blvd Lawndale CA 90260-2136 | |
| (310) 978-4746 | |
| Not Available |
| Full Name | Lili Mirtorabi, D.d.s., A Professional Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 15106 Hawthorne Blvd, Lawndale, California |
| Authorized Official Name and Position | Lili Mirtorabi (OWNER) |
| Authorized Official Contact | 3109784746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lili Mirtorabi, D.d.s., A Professional Corporation 15106 Hawthorne Blvd Lawndale CA 90260-2136 Ph: () - | Lili Mirtorabi, D.d.s., A Professional Corporation 15106 Hawthorne Blvd Lawndale CA 90260-2136 Ph: (310) 978-4746 |
| NPI Number | 1295909372 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 06/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295909372 | NPI | - | NPPES |
| 42574 | Other | CA | DENTAL/ORTHODONTICS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 42574 (California) | Primary |
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