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 |