NPI 1225451545

Roobik Ebrahimi, CDT

Practitioner Dental Laboratory Technician Glendale, CA

Practice location

Address: 2101 Broadview Dr STE C, Glendale, CA 91208-1355
Phone: (818) 957-0400
Fax: (818) 957-0422

Registered specialties

Dental Laboratory Technician Primary

Dental Providers Taxonomy 126900000X Licence 104616-00 (CA)

Other Dental Laboratory Technician providers in California →

Registry record

NPI: 1225451545
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jan 2014
Record last updated: 22 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.