Most Relevant Information
Provider Data
| NPI Number: | 1003466285 |
| Provider Name: | MINA DAVAR DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 104088 |
Most Important Dates
| Enumeration Date: | 09/18/2019 |
| Last Updated: | 09/18/2019 |
Provider Practice Location
5405 LINDLEY AVE APT 209
TARZANA
CA
913563714
Practice Location Phone/Fax
| Phone: | 8189839942 |
| Fax: |
Provider Mailing Location
5405 LINDLEY AVE APT 209
TARZANA
CA
913563714
Provider Mailing Phone/Fax
| Phone: | 8189839942 |
| Fax: |