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Organization
PORIA EDALAT, DDS, APC
Active
Organization
PORIA EDALAT, DDS, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PORIA EDALAT (PRESIDENT)
(818) 297-6595
Entity
Organization
Contact information
Practice address
5906 MONTEREY RD, LOS ANGELES, CA 90042
(323) 256-2680
Mailing address
5906 MONTEREY RD, LOS ANGELES, CA 90042-4943
(323) 256-2680
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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