Tavari, Azadeh
Tavari, Azadeh is an individual health care provider with primary practice located at 11633 San Vicente Blvd , Los Angeles CA 90049-6511. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Tavari, Azadeh can be contacted via phone (818) 324-6121.Contact Information
Primary practice address
11633 San Vicente Blvd
Los Angeles CA 90049-6511
Phone: (818) 324-6121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 101690 | California |
Profile Details
| NPI number | 1487172391 |
|---|---|
| LBN Legal business name | Tavari, Azadeh |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2017 |
| Last updated | Aug 31st, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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