# EDALATPAJOUH & KALAT DENTAL PRACTICE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** De Soto Dental Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184634693
- **Authorized official:** FARAMARZ EDALATPAJOUH (PRESIDENT)
- **Authorized official phone:** (818) 888-2211

## Contact information

- **Practice address:** 6832 DE SOTO AVE, CANOGA PARK, CA 91303
- **Practice address phone:** (818) 888-2211
- **Practice address fax:** (818) 888-2925
- **Mailing address:** 6832 DE SOTO AVE, CANOGA PARK, CA 91303
- **Mailing address phone:** (818) 888-2211
- **Mailing address fax:** (818) 888-2925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 40811 | CA | Yes |
| 122300000X | Dentist | 41739 | CA | — |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 08/22/2020