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General NPI Number Information
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NPI Number | 1871483750
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Entity Type | Organization
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Legal Business Name | ROZITA NOSRATABADI. DDS. INC
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 8540 S SEPULVEDA BLVD STE 705
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City | LOS ANGELES
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State | CA
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Zip | 90045-3828
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Country | US
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Telephone | 310-645-8555
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Fax | 310-645-8556
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Provider Business Mailing Address
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Address Line | 8540 S SEPULVEDA BLVD STE 705
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City | LOS ANGELES
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State | CA
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Zip | 90045-3828
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Country | US
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Telephone | 310-645-8555
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Fax | 310-645-8556
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | ROZITA NOSRATABADI
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Credential | DDS
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Telephone | 310-645-8555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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