| NPI | 1194811455 |
|---|---|
| Other Name | SARAH GANJAVI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401008939) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 11910) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-09-26 |