Organization
F.R EDALATPAJOUH DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN EDALATPAJOUH DDS (CFO)
(310) 529-7292
Entity
Organization
Contact information
Practice address
10470 FOOTHILL BLVD STE 126, RANCHO CUCAMONGA, CA 91730-6945
(909) 989-7888
Mailing address
10470 FOOTHILL BLVD STE 126, RANCHO CUCAMONGA, CA 91730-6945
(909) 989-7888
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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