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Individual

EDMOND YAGHOUBI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1616 S HOLT AVE, LOS ANGELES, CA 90035-3613
(310) 487-3409
Mailing address
1616 S HOLT AVE, LOS ANGELES, CA 90035-3613
(310) 487-3409

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
58304
CA

Other

Enumeration date
06/05/2009
Last updated
05/06/2016
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