DR. Mehdi Fotovat, DDS
NPI #1982719175 in Valley Village, California
Provider Information
- NPI Number
- 1982719175
- Entity Type
- Individual
- Name
- DR. Mehdi Fotovat, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- DDS
- Enumeration Date
- Aug 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5445 LAUREL CANYON BLVD
- City
- Valley Village
- State
- California
- ZIP Code
- 91607-4661
- Phone
- (818) 980-5300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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Organizations
| Provider Name | |
|---|---|
| Yury B. Geylikman, a Professional Dental Corporation |
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