| Iravani Dental Corp | |
|
405 N Maclay Ave Ste 101 San Fernando CA 91340-2454 | |
| (818) 639-0340 | |
| Not Available |
| Full Name | Iravani Dental Corp |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 405 N Maclay Ave Ste 101, San Fernando, California |
| Authorized Official Name and Position | Gowhar Iravani (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 8186390340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iravani Dental Corp 405 N Maclay Ave Ste 101 San Fernando CA 91340-2454 Ph: (818) 639-0340 | Iravani Dental Corp 405 N Maclay Ave Ste 101 San Fernando CA 91340-2454 Ph: (818) 639-0340 |
| NPI Number | 1316756778 |
|---|---|
| Provider Enumeration Date | 12/31/2024 |
| Last Update Date | 12/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316756778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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