Organization
AMIR DADGAR YEGANEH DDS MS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIR DADGAR-YEGANEH DDS, MS (BOARD CERTIFIED ORTHODONTIST)
(310) 774-1372
Entity
Organization
Contact information
Practice address
1111 N. BRAND BLVD., SUITE 201, GLENDALE, CA 91202
(818) 242-1173
(818) 242-1005
Mailing address
1111 N. BRAND BLVD., SUITE 201, GLENDALE, CA 91202
(310) 774-1372
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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