| G. Iravani. Dds. Inc | |
|
405 N Maclay Ave San Fernando CA 91340-2445 | |
| (818) 493-9159 | |
| Not Available |
| Full Name | G. Iravani. Dds. Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 405 N Maclay Ave, San Fernando, California |
| Authorized Official Name and Position | Gowhar Iravani (ORTHODONTIST) |
| Authorized Official Contact | 8184939159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G. Iravani. Dds. Inc 405 N Maclay Ave San Fernando CA 91340-2445 Ph: () - | G. Iravani. Dds. Inc 405 N Maclay Ave San Fernando CA 91340-2445 Ph: (818) 493-9159 |
| NPI Number | 1831688118 |
|---|---|
| Provider Enumeration Date | 05/02/2018 |
| Last Update Date | 05/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831688118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 63471 (California) | Primary |
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