| F Edalatpajouh Dental Inc | |
|
4332 Slauson Ave Maywood CA 90270-2848 | |
| (310) 529-7292 | |
| Not Available |
| Full Name | F Edalatpajouh Dental Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4332 Slauson Ave, Maywood, California |
| Authorized Official Name and Position | Ryan Edalatpajouh (PRESIDENT) |
| Authorized Official Contact | 3105297292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| F Edalatpajouh Dental Inc 4332 Slauson Ave Maywood CA 90270-2848 Ph: (323) 771-7777 | F Edalatpajouh Dental Inc 4332 Slauson Ave Maywood CA 90270-2848 Ph: (310) 529-7292 |
| NPI Number | 1669068201 |
|---|---|
| Provider Enumeration Date | 12/17/2020 |
| Last Update Date | 03/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669068201 | NPI | - | NPPES |
| 1225551351 | Medicaid | CA | |
| 1225551351 | Other | CA | FARAZ EDALATPAJOUH |
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