Individual
ALI GHAVIBONIHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1835 S LA CIENEGA BLVD, LOS ANGELES, CA 90035-4600
(310) 836-0300
Mailing address
4535 SAN FELICIANO DR, WOODLAND HILLS, CA 91364-5037
(818) 517-6330
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49754
CA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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