| Edalat Dental Group, Apc | |
|
18450 Dearborn St Northridge CA 91325-2259 | |
| (310) 999-9669 | |
| Not Available |
| Full Name | Edalat Dental Group, Apc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 18450 Dearborn St, Northridge, California |
| Authorized Official Name and Position | Saman Edalat (PRESIDENT) |
| Authorized Official Contact | 3109999669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edalat Dental Group, Apc 18450 Dearborn St Northridge CA 91325-2259 Ph: (310) 999-9669 | Edalat Dental Group, Apc 18450 Dearborn St Northridge CA 91325-2259 Ph: (310) 999-9669 |
| NPI Number | 1730794801 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 09/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730794801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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