Individual
CRYSTAL AGHEVLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4447 SEPULVEDA BLVD, CULVER CITY, CA 90230-4847
(310) 313-0308
Mailing address
4534 CHERRY VALLEY CIR, WESTLAKE VILLAGE, CA 91362-4302
(818) 523-4524
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41457
CA
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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