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Organization
ROUHANI AND KHABBAZ DENTAL CORPORATION
Active
Organization
ROUHANI AND KHABBAZ DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORVARD ROUHANI D.D.S. (OWNER)
(626) 795-6855
Entity
Organization
Contact information
Practice address
310 S LAKE AVE, LOWER LEVEL, PASADENA, CA 91101-3537
(626) 795-6855
(626) 432-4260
Mailing address
310 S LAKE AVE, LOWER LEVEL, PASADENA, CA 91101-3537
(626) 795-6855
(626) 432-4260
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
43654
CA
1223G0001X
General Practice Dentistry
Primary
43654
CA
1223P0221X
Pediatric Dentistry
43654
CA
1223P0300X
Periodontics
43654
CA
1223P0700X
Prosthodontics
43654
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
43654
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
43654
CA
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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