# EDA METHASANI DDS DENTAL CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1891337762
- **Authorized official:** DR. EDA JOKIC DDS (PRESIDENT)
- **Authorized official phone:** (310) 313-1063

## Contact information

- **Practice address:** 4740 INGLEWOOD BLVD, CULVER CITY, CA 90230-5824
- **Practice address phone:** (310) 313-1063
- **Practice address fax:** (310) 398-5681
- **Mailing address:** 4740 INGLEWOOD BLVD, CULVER CITY, CA 90230-5824
- **Mailing address phone:** (310) 313-1063
- **Mailing address fax:** (310) 398-5681

## Taxonomy

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

## Other

- **Enumeration date:** 10/11/2019
- **Last updated:** 10/26/2019