| NPI | 1316756778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOWHAR IRAVANI Owner/Orthodontist 818-639-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-12-31 |
| Last Update Date | 2024-12-31 |