# DR. SHERVIN GHOLIAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1770789513
- **Gender:** Man
- **Credential:** D.M.D., M.M.SC.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 48603 | CA | Yes |

## Other

- **Enumeration date:** 06/26/2007
- **Last updated:** 12/29/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 20-1089233 | TAX IDENTIFICATION NUMBER | CA |