# M EVINI DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OPEN DENTAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790578193
- **Authorized official:** DR. MEHRAN EVINI (DENTIST)
- **Authorized official phone:** (310) 866-0203

## Contact information

- **Practice address:** 6817 BALBOA BLVD STE A, VAN NUYS, CA 91406-4592
- **Practice address phone:** (818) 208-9151
- **Mailing address:** 6817 BALBOA BLVD STE A, VAN NUYS, CA 91406-4592
- **Mailing address phone:** (818) 208-9151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/28/2025
- **Last updated:** 04/22/2026