Most Relevant Information
Provider Data
| NPI Number: | 1003461872 |
| Provider Name: | NEDA POURRAHIMI DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 104107 |
Most Important Dates
| Enumeration Date: | 08/07/2019 |
| Last Updated: | 11/12/2019 |
Provider Practice Location
555 MARIN ST STE 150
THOUSAND OAKS
CA
913604103
Practice Location Phone/Fax
| Phone: | 8053791167 |
| Fax: |
Provider Mailing Location
555 MARIN ST STE 150
THOUSAND OAKS
CA
913604103
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |