# DR. NILOOFAR KHOSRAVIAN

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

## Provider details

- **NPI number:** 1790126779
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 057614 | NY | — |
| 122300000X | Dentist | 31791 | TX | — |
| 122300000X | Dentist | DL11947 | MA | — |
| 122300000X | Dentist | DS040753 | PA | — |
| 1223E0200X | Endodontics | 31791 | TX | — |
| 1223E0200X | Endodontics | DDS102381 | CA | Yes |

## Other

- **Enumeration date:** 07/08/2013
- **Last updated:** 05/05/2026