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Organization
SHAHROKH JEDIAN DDS
Active
Organization
SHAHROKH JEDIAN DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHROKH JEDIAN (PRESIDENT)
(310) 404-6476
Entity
Organization
Contact information
Practice address
998 S ROBERTSON BLVD, LOS ANGELES, CA 90035-1637
(310) 358-1200
Mailing address
998 S ROBERTSON BLVD, LOS ANGELES, CA 90035-1637
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407052814
NPI
CA
Enumeration date
01/05/2009
Last updated
01/05/2009
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