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ASTARAEE DENTAL CORP NPI 1669954566


NPI Information

NPI: 1669954566
Provider Name: ASTARAEE DENTAL CORP

Doing Business As: LUXE DENTAL COSMETICS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
11980 SAN VICENTE BLVD STE 819
LOS ANGELES, CA
ZIP 90049
Phone: (424) 372-9159
Get Directions

ASTARAEE DENTAL CORP is a general practice dentist in Los Angeles, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ASTARAEE DENTAL CORP NPI is 1669954566. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Luxe Dental Cosmetics.

The provider's business location address is:

11980 SAN VICENTE BLVD STE 819
LOS ANGELES, CA
ZIP 90049-606
Phone: (424) 372-9159

The provider's authorized official is Nima Astaraee .
The authorized official title is Dentist/ceo and has the following contact phone number (619) 261-3933.

The enumeration date for this NPI number is 9/6/2018 and was last updated on 11/3/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDDS101265CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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