DR LIDA DAVANI DDS DENTAL CORP

LOS ANGELES, CA
NPI1063270411
Entity TypeOrganization
Authorized ContactLIDA MOHAGHEGH-DAVANI
Owner/ Provider
310-410-9470
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2024-03-11
Last Update Date2024-03-11
Business Address
DR LIDA DAVANI DDS DENTAL CORP
8540 S SEPULVEDA BLVD STE 815
LOS ANGELES, CA 90045-3808
Phone number: 310-410-9470
Mailing Address
DR LIDA DAVANI DDS DENTAL CORP
8540 S SEPULVEDA BLVD STE 815
LOS ANGELES, CA 90045-3808
Phone number: 310-410-9470