| Afsoon S. Gerayli, Dds Inc | |
|
19231 Victory Blvd Ste 451 Reseda CA 91335-6360 | |
| (818) 345-3355 | |
| Not Available |
| Full Name | Afsoon S. Gerayli, Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 19231 Victory Blvd Ste 451, Reseda, California |
| Authorized Official Name and Position | Afsoon S Gerayli (OWNER) |
| Authorized Official Contact | 8183453355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Afsoon S. Gerayli, Dds Inc 19231 Victory Blvd Ste 451 Reseda CA 91335-6360 Ph: (818) 345-3355 | Afsoon S. Gerayli, Dds Inc 19231 Victory Blvd Ste 451 Reseda CA 91335-6360 Ph: (818) 345-3355 |
| NPI Number | 1932634474 |
|---|---|
| Provider Enumeration Date | 04/21/2017 |
| Last Update Date | 04/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932634474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 44402 (California) | Primary |
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