Ravaei Dental Office

NPI #1821200726 in Pacoima, California

Provider Information

NPI Number: 1821200726
Entity Type: Organization
Organization Name: Ravaei Dental Office
Primary Specialty: Dentist - General Practice
Enumeration Date: May 4, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 13003 VAN NUYS BLVD
Address 2: SUITE H & I
City: Pacoima
State: California
ZIP Code: 91331-8316
Phone: (310) 836-0300

Authorized Official

Name: RAMIN RA VAEI
Title: PRESIDENT
Phone: (310) 836-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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