| Ravaei Dental Office | |
|
13003 Van Nuys Blvd Suite H & I Pacoima CA 91331-8316 | |
| (310) 836-0300 | |
| Not Available |
| Full Name | Ravaei Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13003 Van Nuys Blvd, Pacoima, California |
| Authorized Official Name and Position | Ramin Ra Vaei (PRESIDENT) |
| Authorized Official Contact | 3108360300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ravaei Dental Office Po Box 330880 Pacoima CA 91333-0880 Ph: (310) 836-0300 | Ravaei Dental Office 13003 Van Nuys Blvd Suite H & I Pacoima CA 91331-8316 Ph: (310) 836-0300 |
| NPI Number | 1821200726 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821200726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 41988 (California) | Primary |
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