| NPI | 1134942733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOWHAR IRAVANI Doctor 818-639-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-12-11 |