Individual
DR. IMANOEL GOLSHIRAZIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
10582 W PICO BLVD, LOS ANGELES, CA 90064-2332
(310) 666-6707
Mailing address
10582 W PICO BLVD, LOS ANGELES, CA 90064-2332
(310) 837-6453
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
62132
CA
Other
Enumeration date
09/16/2009
Last updated
06/09/2021
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