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Pooyan Nasibi, DDS
Pediatric Dentist in Los Angeles, California
NPI 1457735565

Pooyan Nasibi is a Pediatric Dentist based in Los Angeles, CA and is specialized in Pediatric Dentistry. Pooyan Nasibi practices in Los Angeles, CA and has the professional credentials of DDS. The NPI Number for Pooyan Nasibi is 1457735565 and holds a License No. 63152 (California).

The current practice location address for Pooyan Nasibi is 1835 S Bentley Ave Apt 6, Los Angeles, CA and can be reached out via phone at 424-208-4055.

Location: 1835 S Bentley Ave Apt 6, Los Angeles, CA, 90025-4324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457735565
Provider Name
Pooyan Nasibi
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1835 S Bentley Ave Apt 6, Los Angeles, CA, 90025-4324
Phone Number
424-208-4055
Fax Number
Provider Enumeration Date
07/17/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1835 S Bentley Ave Apt 6
City
Los Angeles
State
California
Zip
90025-4324
Phone Number
424-208-4055
Fax Number
person
Provider Business Mailing Address Details
Address
1835 S Bentley Ave Apt 6
City
Los Angeles
State
California
Zip
90025-4324
Phone Number
424-208-4055
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
63152 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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