Individual provider · Type 1 NPI

Sara Ashley Ardehali

Pediatric Dentistry · Los Angeles, CA

NPI number 1912636663 Active

Practice location

714 Tiverton Ave
Los Angeles, CA 90095-8361

Call (310) 825-9789 Map

Mailing address

430 N Bowling Green Way
Los Angeles, CA 90049-2820

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X111360 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1912636663

Sara Ashley Ardehali's National Provider Identifier is 1912636663, issued on Jun 8, 2022. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 8, 2026.