Organization
SINA EDALAT DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SINA EDALAT DDS (PRESIDENT)
(323) 344-0682
Entity
Organization
Contact information
Practice address
1739 COLORADO BLVD, LOS ANGELES, CA 90041-1348
(323) 344-0682
Mailing address
5906 MONTEREY RD, LOS ANGELES, CA 90042-4943
(818) 934-3666
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
03/15/2023
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