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General NPI Number Information
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NPI Number | 1437483443
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Entity Type | Organization
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Legal Business Name | DAVID JAVDAN, D.D.S., INC.
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Dates
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Enumeration Date | 09/23/2009
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Last Update Date | 03/07/2017
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Provider Practice Location Address
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Address Line | 1125 S. BEVERLY DRIVE SUITE 400
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City | LOS ANGELES
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State | CA
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Zip | 90035
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Country | US
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Telephone | 310-286-7447
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Fax | 310-286-7887
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Provider Business Mailing Address
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Address Line | 1125 S. BEVERLY DRIVE SUITE 400
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City | LOS ANGELES
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State | CA
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Zip | 90035
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Country | US
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Telephone | 310-286-7447
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Fax | 310-286-7887
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Authorized Official
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Title or Position | PRESIDENT/OWNER DENTIST
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Name | DR. DAVID JAVDAN
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Credential | D.D.S.
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Telephone | 310-286-7447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 44489
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License Number State | CA
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