| NPI | 1245545839 |
|---|---|
| Former Name | SEPIDEH TAGHVAEI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 59640) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 59640) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2014-12-17 |