Individual
DR. CYROUS ARDALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8723 ALDEN DRIVE, LOS ANGELES, CA 90048
(310) 423-6361
Mailing address
1933 17TH ST APT 4, SANTA MONICA, CA 90404-4766
(617) 686-6629
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56760
CA
Other
Enumeration date
01/25/2008
Last updated
01/30/2008
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