Individual
GOLNAZ KAVAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30.024640
OH
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
106090
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
30.024640
OH
Other
Enumeration date
06/12/2018
Last updated
04/06/2021
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