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Organization
SOODABEH AZARMI DDS INC
Active
Organization
SOODABEH AZARMI DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SOODABEH AZARMI DDS (OWNER)
(310) 837-8087
Entity
Organization
Contact information
Practice address
4310 OVERLAND AVE, CULVER CITY, CA 90230-4117
(310) 837-8087
(310) 837-8096
Mailing address
4310 OVERLAND AVE, CULVER CITY, CA 90230-4117
(310) 837-8087
(310) 837-8096
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B39938
DENTI-CAL PROVIDER
CA
Enumeration date
12/11/2007
Last updated
12/11/2007
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