Shayesteh, Nima Elazar
Shayesteh, Nima Elazar is an sole proprietor health care provider with primary practice located at 10842 Washington Blvd , Culver City CA 90232-3610. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Shayesteh, Nima Elazar can be contacted via phone (424) 361-5218.Contact Information
Primary practice address
10842 Washington Blvd
Culver City CA 90232-3610
Phone: (424) 361-5218
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 57035 | California |
| Dental Providers / Dentist | 122300000X | 57035 | California |
Profile Details
| NPI number | 1336309285 |
|---|---|
| LBN Legal business name | Shayesteh, Nima Elazar |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2008 |
| Last updated | May 8th, 2023 - about last year |
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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