Organization
YASAMAN ZADEH D.D.S, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASAMAN HASSANIZADEH D.D.S (PRESIDENT)
(310) 430-1444
Entity
Organization
Contact information
Practice address
10992 ASHTON AVE APT 302, LOS ANGELES, CA 90024-4891
(310) 473-8052
Mailing address
10992 ASHTON AVE UNIT 302, LOS ANGELES, CA 90024
(310) 473-8052
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
57583
CA
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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