Individual
DR. DEZIREH SEVANESIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
79719 PARKWAY ESPLANADE S, LA QUINTA, CA 92253-4090
(818) 813-2293
Mailing address
79719 PARKWAY ESPLANADE S, LA QUINTA, CA 92253-4090
(818) 813-2293
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8097
AZ
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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