| Lili Mirtorabi D.d.s A Professional Corporation | |
|
2368 Pico Boulevard Los Angeles CA 90006 | |
| (844) 347-5794 | |
| Not Available |
| Full Name | Lili Mirtorabi D.d.s A Professional Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2368 Pico Boulevard, Los Angeles, California |
| Authorized Official Name and Position | Gabriela Valdovinos (MANAGING DIRECTOR) |
| Authorized Official Contact | 3232289282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lili Mirtorabi D.d.s A Professional Corporation 7722 Seville Ave Huntington Park CA 90255-6316 Ph: (844) 347-5794 | Lili Mirtorabi D.d.s A Professional Corporation 2368 Pico Boulevard Los Angeles CA 90006 Ph: (844) 347-5794 |
| NPI Number | 1053895565 |
|---|---|
| Provider Enumeration Date | 09/20/2018 |
| Last Update Date | 02/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053895565 | NPI | - | NPPES |
| 020669521 | Other | CA | ORTHODONTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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