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General NPI Number Information
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NPI Number | 1568667236
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Entity Type | Organization
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Legal Business Name | RAMIN NOORVASH DDS INC
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 01/07/2020
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Provider Practice Location Address
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Address Line | 968 W VERNON AVE
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City | LOS ANGELES
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State | CA
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Zip | 90037-3039
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Country | US
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Telephone | 310-968-5666
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Fax |
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Provider Business Mailing Address
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Address Line | 968 W VERNON AVE
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City | LOS ANGELES
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State | CA
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Zip | 90037-3039
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Country | US
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Telephone | 310-968-5666
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. RAMIN NOORVASH
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Credential | DDS
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Telephone | 323-234-4889
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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 | 42204
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License Number State | CA
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