Individual
AFSOON S GERAYLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
19231 VICTORY BLVD STE 451, RESEDA, CA 91335-6360
(818) 345-3355
Mailing address
19231 VICTORY BLVD STE 451, RESEDA, CA 91335-6360
(818) 345-3355
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
44402
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G93913-01
MEDICAL PROVIDER NUMBER
CA
Enumeration date
11/13/2006
Last updated
03/11/2013
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