Organization · Type 2 NPI
Maryam Bakhtiyari, D.d.s Professional Dental Corp
Customized Equipment (DME) · Manhattan Beach, CA
NPI number
1336925908
Active
Practice location
1117 2nd St
Manhattan Beach, CA 90266-6834
Fax (310) 372-4290
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
Another provider at this address
About NPI 1336925908
Maryam Bakhtiyari, D.d.s Professional Dental Corp's National Provider Identifier is 1336925908, issued on Sep 7, 2023. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Manhattan Beach, CA. The record was last updated on Sep 7, 2023.