Organization
IRAVANI DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOWHAR IRAVANI DDS, MS (OWNER/ORTHODONTIST)
(818) 639-0340
Entity
Organization
Contact information
Practice address
405 N MACLAY AVE STE 101, SAN FERNANDO, CA 91340-2454
(818) 639-0340
Mailing address
405 N MACLAY AVE STE 101, SAN FERNANDO, CA 91340-2454
(818) 639-0340
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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