Individual
JOULIANA DAVOUDI CHEGANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
702 W BROADWAY, GLENDALE, CA 91204-1010
(818) 649-1980
(818) 484-4747
Mailing address
3902 LOS OLIVOS LN, LA CRESCENTA, CA 91214-1628
(818) 606-2733
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
101624
CA
1223X2210X
Orofacial Pain Dentistry
Primary
101624
CA
Other
Enumeration date
07/25/2017
Last updated
04/27/2023
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