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Organization
KEYVAN SADAGHIANI-AVAL, DDS A PROFESSIONAL CORPORATION.
Active
Organization
KEYVAN SADAGHIANI-AVAL, DDS A PROFESSIONAL CORPORATION.
Active
Other names
FallBrook Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN GHIANI (CEO)
(310) 486-1909
Entity
Organization
Contact information
Practice address
6739 3/4 FALLBROOK AVE, WEST HILLS, CA 91307-3522
(818) 592-6060
(818) 592-8306
Mailing address
6739 3/4 FALLBROOK AVE, WEST HILLS, CA 91307-3522
(818) 592-6060
(818) 592-8306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00022G1335-001-2
CA
Other
Enumeration date
01/30/2015
Last updated
02/18/2015
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