Individual
BAHAREH GOSHAYESHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3221 CARTER AVE UNIT 367, MARINA DEL REY, CA 90292-4963
(310) 706-8566
Mailing address
3221 CARTER AVE UNIT 367, MARINA DEL REY, CA 90292-4963
(310) 706-8566
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS102393
CA
Other
Enumeration date
03/20/2014
Last updated
01/25/2023
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