Davita Danesh

NPI #1659929149 in Reseda, California

Provider Information

NPI Number: 1659929149
Entity Type: Individual
Name: Davita Danesh
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Aug 28, 2019
Last Updated: Aug 28, 2019

Practice Location

Address: 6846 RESEDA BLVD
City: Reseda
State: California
ZIP Code: 91335-8509
Phone: (818) 578-5170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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