Provider Demographics
NPI:1295462513
Name:LARBI DDS CORP
Entity type:Organization
Organization Name:LARBI DDS CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:LARBI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-395-1810
Mailing Address - Street 1:1304 15TH ST STE 209
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-1811
Mailing Address - Country:US
Mailing Address - Phone:310-395-1810
Mailing Address - Fax:
Practice Address - Street 1:1304 15TH ST STE 209
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-1811
Practice Address - Country:US
Practice Address - Phone:310-395-1810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LARBI DDS CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-05
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1629670419OtherNPI
CA1538700885OtherNPI