| NPI | 1134529290 |
|---|---|
| Other Name | KEVIN BAHARVAND |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 32435) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 32435) |
| 122300000X Dentist (Licence: MA DN1856667) | |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2024-03-20 |