| NPI | 1790823698 |
|---|---|
| Doing Business As | HEAVENLY DENTAL |
| Entity Type | Organization |
| Authorized Contact | NOUSHIN FANI Owner 818-837-9744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 39149) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |