Organization
EDALAT PAJOUH DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARAMARZ EDALAT PAJOUH D.M.D (PRESIDENT)
(310) 854-6565
Entity
Organization
Contact information
Practice address
8704 W. PICO BLVD, LOS ANGELES, CA 90035
(310) 854-6565
(310) 854-0505
Mailing address
8704 W. PICO BLVD, LOS ANGELES, CA 90035
(310) 854-6565
(310) 854-0505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
CA
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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