| B Iravani Dds | |
|
2880 W Olympic Blvd Los Angeles CA 90006-2644 | |
| (310) 962-1119 | |
| Not Available |
| Full Name | B Iravani Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2880 W Olympic Blvd, Los Angeles, California |
| Authorized Official Name and Position | Boshra Sophia Iravani (DENTAL ANESTHESIOLOGIST) |
| Authorized Official Contact | 2407513031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| B Iravani Dds 2880 W Olympic Blvd Los Angeles CA 90006-2644 Ph: (310) 962-1119 | B Iravani Dds 2880 W Olympic Blvd Los Angeles CA 90006-2644 Ph: (310) 962-1119 |
| NPI Number | 1639933948 |
|---|---|
| Provider Enumeration Date | 02/07/2024 |
| Last Update Date | 11/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639933948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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