Organization
TALA EFTEKHARI DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALA EFTEKHARI DDS (PRESIDENT)
(813) 625-4147
Entity
Organization
Contact information
Practice address
4955 VAN NUYS BLVD STE 716, SHERMAN OAKS, CA 91403-1843
(813) 625-4147
Mailing address
10747 WILSHIRE BLVD APT 1308, LOS ANGELES, CA 90024-4409
(813) 625-4147
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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