| NPI | 1053178434 |
|---|---|
| Former Name | SAREEN PATEEL AYVAZIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 106522) |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |