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Dr. Azadeh Tavari, DDS,MS
Periodontist in Los Angeles, California
NPI 1487172391

Azadeh Tavari is a Periodontist based in Encino, CA and is specialized in Periodontics. Azadeh Tavari practices in Los Angeles, CA and has the professional credentials of DDS,MS. The NPI Number for Azadeh Tavari is 1487172391 and holds a License No. 101690 (California).

The current practice location address for Azadeh Tavari is 11633 San Vicente Blvd, Los Angeles, CA and can be reached out via phone at 818-324-6121.

Location: 11633 San Vicente Blvd, Los Angeles, CA, 91316-4415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487172391
Provider Name
Azadeh Tavari
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Female
Address
11633 San Vicente Blvd, Los Angeles, CA, 91316-4415
Phone Number
818-324-6121
Fax Number
Provider Enumeration Date
08/31/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11633 San Vicente Blvd
City
Los Angeles
State
California
Zip
90049-6511
Phone Number
818-324-6121
Fax Number
person
Provider Business Mailing Address Details
Address
11633 San Vicente Blvd
City
Los Angeles
State
California
Zip
90049-6511
Phone Number
818-324-6121
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
101690 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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