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Individual

DR. JASVEEN WADIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
1100 WILSHIRE BLVD APT 3409, LOS ANGELES, CA 90017-1957
(760) 519-5577
Mailing address
1100 WILSHIRE BLVD APT 3409, LOS ANGELES, CA 90017-1957
(760) 519-5577

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
62731
CA
1223P0300X
Periodontics
Primary
62731
CA

Other

Enumeration date
05/05/2015
Last updated
07/13/2020
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