Provider Demographics
NPI:1376257147
Name:NOVEIR DENTAL CORPORATION
Entity Type:Organization
Organization Name:NOVEIR DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NOVEIR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-666-5516
Mailing Address - Street 1:9671 RESEDA BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-2018
Mailing Address - Country:US
Mailing Address - Phone:818-345-5556
Mailing Address - Fax:818-960-6925
Practice Address - Street 1:9671 RESEDA BLVD
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-2018
Practice Address - Country:US
Practice Address - Phone:818-345-5556
Practice Address - Fax:818-960-6925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental