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Individual

GHAZALEH FOULADIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2051 S BENTLEY AVE, #203, LOS ANGELES, CA 90025-5652
(310) 699-7790
Mailing address
2051 S BENTLEY AVE, #203, LOS ANGELES, CA 90025-5652
(310) 699-7790

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
24654
CA

Other

Enumeration date
11/30/2011
Last updated
11/30/2011
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