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Organization
POORAN DALWANI DDS INC
Active
Organization
POORAN DALWANI DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAMTA POORAN DALWANI DDS (DENTIST)
(310) 279-2298
Entity
Organization
Contact information
Practice address
400 E REGENT ST, INGLEWOOD, CA 90301-1316
(626) 357-1057
Mailing address
12381 WILSHIRE BLVD STE 103, LOS ANGELES, CA 90025-1063
(310) 207-4617
(310) 207-5047
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27978
CA
Other
Enumeration date
08/28/2009
Last updated
03/17/2018
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