| NPI | 1811629728 |
|---|---|
| Former Legal Business Name | E. NIKJOO DDS INC |
| Doing Business As | E.NIKJOO DDS INC |
| Doing Business As | E. NIKJOO DDS INC |
| Entity Type | Organization |
| Authorized Contact | LETICIA FLORES Office Manager 310-634-5137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-06-29 |