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Organization
MEHRAN JAVAHERIAN DDS. INC.
Active
Organization
MEHRAN JAVAHERIAN DDS. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHRAN JAVAHERIAN DDS (OWNER)
(562) 988-2888
Entity
Organization
Contact information
Practice address
141 EAST WILLOW ST, LONG BEACH, CA 90806
(562) 988-2888
Mailing address
141 EAST WILLOW ST, LONG BEACH, CA 90806
(562) 988-2888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38060
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B-38060-03
—
CA
Enumeration date
11/16/2006
Last updated
07/18/2016
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