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1487172391
AZADEH TAVARI
LOS ANGELES, CA
NPI
1487172391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: CA 101690)
Enumeration Date
2017-08-31
Last Update Date
2017-08-31
Business Address
Dr. AZADEH TAVARI DDS, MS
11633 SAN VICENTE BLVD
LOS ANGELES, CA 90049-6511
Phone number: 818-324-6121
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Mailing Address
Dr. AZADEH TAVARI DDS, MS
18160 CHARDON CIR
ENCINO, CA 91316-4415
Phone number: 818-324-6121
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