Khosravian, Niloofar

Khosravian, Niloofar is an sole proprietor health care provider with primary practice located at 1920 Corporate Dr #107 A, San Marcos TX 78666-6283. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is her primary health care specialty. Khosravian, Niloofar can be contacted via phone (818) 922-5752.

Contact Information

Primary practice address
1920 Corporate Dr #107 A San Marcos TX 78666-6283
Phone: (818) 922-5752
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 31791 Texas
Dental Providers / Dentist 122300000X 057614 New York
Dental Providers / Dentist 122300000X DS040753 Pennsylvania
Dental Providers / Dentist 122300000X DL11947 Massachusetts
Dental Providers / Endodontics 1223E0200X 31791 Texas

Profile Details

NPI number 1790126779
LBN Legal business name Khosravian, Niloofar
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2013
Last updated Jun 21st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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