| Desoto Dental Practice Of Edalat Pajouh S Kalai Dental Corp | |
|
6832 Desoto Ave Canoga Park CA 91303 | |
| (818) 888-2211 | |
| (818) 888-2915 |
| Full Name | Desoto Dental Practice Of Edalat Pajouh S Kalai Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 6832 Desoto Ave, Canoga Park, California |
| Authorized Official Name and Position | Kambiz Kalai (SECRETARY) |
| Authorized Official Contact | 8188882211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desoto Dental Practice Of Edalat Pajouh S Kalai Dental Corp 6832 Desoto Ave Canoga Park CA 91303 Ph: (818) 888-2211 | Desoto Dental Practice Of Edalat Pajouh S Kalai Dental Corp 6832 Desoto Ave Canoga Park CA 91303 Ph: (818) 888-2211 |
| NPI Number | 1205908795 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 09/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205908795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41739 (California) | Primary |
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De Soto Dental Practice Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6832 De Soto Ave, Canoga Park, CA 91303 Phone: 818-888-2211 Fax: 818-888-2925 |