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Organization
KATAYOUN SETAREH
Active
Organization
KATAYOUN SETAREH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATYOUN SETAREH D.D.S. (OWNER/DENTIST)
(818) 326-3365
Entity
Organization
Contact information
Practice address
5126 GARDEN GROVE AVE, TARZANA, CA 91356-4339
(818) 326-3365
Mailing address
5126 GARDEN GROVE AVE, TARZANA, CA 91356-4339
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50822
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
10/17/2013
Last updated
10/29/2013
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