Heavenly Dental
NPI #1790823698 in San Fernando, California
Provider Information
- NPI Number
- 1790823698
- Entity Type
- Organization
- Organization Name
- Heavenly Dental
- Primary Specialty
- Dentist
- Enumeration Date
- Feb 2, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 321 N MACLAY AVE
- Address 2
- SUITE A
- City
- San Fernando
- State
- California
- ZIP Code
- 91340
- Phone
- (818) 837-9744
Authorized Official
- Name
- NOUSHIN FANI, DDS
- Title
- OWNER
- Phone
- (818) 837-9744
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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