Healthcare Provider Details

I. General information

NPI: 1326957952
Provider Name (Legal Business Name): LILIAN AL NIHMY DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 N CENTRAL AVE STE 210
GLENDALE CA
91203-3552
US

IV. Provider business mailing address

313 E BROADWAY UNIT 402
GLENDALE CA
91209-7022
US

V. Phone/Fax

Practice location:
  • Phone: 818-418-5555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDDS113710
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: