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General NPI Number Information
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NPI Number | 1699651000
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Entity Type | Organization
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Legal Business Name | JOURABCHI NORWALK DENTAL CORP.
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 11550 ROSECRANS AVE STE 101
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City | NORWALK
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State | CA
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Zip | 90650-3881
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Country | US
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Telephone | 562-777-1128
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Fax |
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Provider Business Mailing Address
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Address Line | 340 S CANON DR
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-4516
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Country | US
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Telephone | 818-825-1618
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. MICKEL JOURABCHI
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Credential | DDS
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Telephone | 818-825-1618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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