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Organization
VOSSOUGHI DENTAL PRACTICE PC
Active
Organization
VOSSOUGHI DENTAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROUZBEH VOSSOUGHI (OWNER/ORTHODONTIST)
(310) 806-1599
Entity
Organization
Contact information
Practice address
14342 VICTORY BLVD, VAN NUYS, CA 91401-1944
(818) 488-6062
Mailing address
12115 SAN VICENTE BLVD UNIT 210, LOS ANGELES, CA 90049-4929
(310) 806-1599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/16/2022
Last updated
09/11/2025
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