# EDALAT PAJOUH DENTAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346483914
- **Authorized official:** FARAMARZ EDALAT PAJOUH D.M.D (PRESIDENT)
- **Authorized official phone:** (310) 854-6565

## Contact information

- **Practice address:** 8704 W. PICO BLVD, LOS ANGELES, CA 90035
- **Practice address phone:** (310) 854-6565
- **Practice address fax:** (310) 854-0505
- **Mailing address:** 8704 W. PICO BLVD, LOS ANGELES, CA 90035
- **Mailing address phone:** (310) 854-6565
- **Mailing address fax:** (310) 854-0505

## Taxonomy

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

## Other

- **Enumeration date:** 04/13/2009
- **Last updated:** 04/13/2009