Individual
KAVEH PAJOUHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4316 MARINA CITY DR UNIT 823, MARINA DEL REY, CA 90292-5819
(310) 592-4642
Mailing address
4316 MARINA CITY DR UNIT 823, MARINA DEL REY, CA 90292-5819
(310) 592-4642
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DDS100690
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/19/2013
Last updated
04/21/2017
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