Individual
DR. SEPAND GHANOUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9055 ALCOTT ST, #5, LOS ANGELES, CA 90035-3364
(347) 901-2685
Mailing address
9055 ALCOTT ST, #5, LOS ANGELES, CA 90035-3364
(347) 901-2685
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
64072
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2011
Last updated
07/13/2016
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