Organization
EDALATPAJOUH & KALAT DENTAL PRACTICE
Active
Other names
De Soto Dental Practice
Organization subpart
No
Provider details
NPI number
Authorized official
FARAMARZ EDALATPAJOUH (PRESIDENT)
(818) 888-2211
Entity
Organization
Contact information
Practice address
6832 DE SOTO AVE, CANOGA PARK, CA 91303
(818) 888-2211
(818) 888-2925
Mailing address
6832 DE SOTO AVE, CANOGA PARK, CA 91303
(818) 888-2211
(818) 888-2925
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40811
CA
122300000X
Dentist
41739
CA
Other
Enumeration date
08/08/2006
Last updated
08/22/2020
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