Individual
TARANEH FIROUZ NOORVASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11645 WILSHIRE BLVD, SUITE 1060, LOS ANGELES, CA 90025-1708
(310) 442-9661
(310) 447-3867
Mailing address
11645 WILSHIRE BLVD, SUITE 1060, LOS ANGELES, CA 90025-1708
(310) 442-9661
(310) 447-3867
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
40151
CA
Other
Enumeration date
01/14/2007
Last updated
07/08/2007
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