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1063270411
DR LIDA DAVANI DDS DENTAL CORP
LOS ANGELES, CA
NPI
1063270411
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Entity Type
Organization
Authorized Contact
LIDA MOHAGHEGH-DAVANI
Owner/ Provider
310-410-9470
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2024-03-11
Last Update Date
2024-03-11
Business Address
DR LIDA DAVANI DDS DENTAL CORP
8540 S SEPULVEDA BLVD STE 815
LOS ANGELES, CA 90045-3808
Phone number: 310-410-9470
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Mailing Address
DR LIDA DAVANI DDS DENTAL CORP
8540 S SEPULVEDA BLVD STE 815
LOS ANGELES, CA 90045-3808
Phone number: 310-410-9470
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