| NPI | 1871649152 |
|---|---|
| Former Name | HEDIEH TAVAJOHI-KERMANI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 43565) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-08-20 |