| NPI | 1831688118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOWHAR IRAVANI Orthodontist 818-493-9159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 63471) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |