Organization
PEDRAM SOOFERI DDS, INC
Active
Other names
Pedram Sooferi DDS, INC
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRAM EIN SOOFERI DDS (CEO)
(310) 645-6033
Entity
Organization
Contact information
Practice address
8930 S SEPULVEDA BLVD STE 118, LOS ANGELES, CA 90045-3606
(310) 645-6033
(310) 410-0990
Mailing address
8930 S SEPULVEDA BLVD STE 118, LOS ANGELES, CA 90045-3606
(310) 645-6033
(310) 410-0990
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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