Individual
DR. LADAN ZIAIE MATIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1548 N PACIFIC AVE, GLENDALE, CA 91202-1214
(310) 780-1385
Mailing address
1548 N PACIFIC AVE, GLENDALE, CA 91202-1214
(310) 780-1385
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
109801
CA
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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