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Jouliana Davoudi Chegani

Dentist, Orofacial Pain in Glendale, CA. Individual provider (NPI-1).

NPI number1669995296
StatusActive
Last updated in NPPESApr 27, 2023

Details

NPI
1669995296
Entity type
Individual (NPI-1)
Name
Jouliana Davoudi Chegani
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 25, 2017
Certification date
Apr 27, 2023
Last updated
Apr 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X2210X Dentist, Orofacial Pain101624CAYes
1223G0001X Dentist, General Practice101624CA

Practice location

702 W Broadway
Glendale, CA 91204-1010

Phone 818-649-1980 · Fax 818-484-4747

Mailing address

3902 Los Olivos Ln
La Crescenta, CA 91214-1628

Phone 818-606-2733

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