Individual
GOWHAR IRAVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
530 S MAIN ST, ORANGE, CA 92868-4525
(800) 579-3783
Mailing address
530 S MAIN ST, ORANGE, CA 92868-4525
(800) 579-3783
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
63471
CA
Other
Enumeration date
07/10/2014
Last updated
02/04/2016
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