Organization
NOOSHI AKAVAN DDS, MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOOSHI AKAVAN DDS, MS (OWNER/ ORTHODONTIST)
(818) 345-9601
Entity
Organization
Contact information
Practice address
18919 VENTURA BLVD, SUITE B, TARZANA, CA 91356-3211
(818) 345-9601
(818) 757-8901
Mailing address
18919 VENTURA BLVD, SUITE B, TARZANA, CA 91356-3211
(818) 345-9601
(818) 757-8901
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
38020
CA
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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