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Organization

TARANEH F. NOORVASH DDS INC

Active
Parent organization
TARANEH F. NOORVASH
Organization subpart
Yes

Provider details

NPI number
Legal business name
TARANEH F. NOORVASH
Authorized official
DR. TARANEH FIROUZ NOORVASH DDS (ORTHODONTIST)
(310) 442-9661
Entity
Organization

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
261QD0000X
Dental Clinic/Center
Primary
40151
CA

Other

Enumeration date
03/24/2015
Last updated
03/24/2015
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