| Faraz Edalatpajouh Dental Inc | |
|
1210 W Redondo Beach Blvd Gardena CA 90247-3411 | |
| (310) 523-9009 | |
| Not Available |
| Full Name | Faraz Edalatpajouh Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | 1210 W Redondo Beach Blvd, Gardena, California |
| Authorized Official Name and Position | Faraz Edalatpajouh (OWNER) |
| Authorized Official Contact | 3105295685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faraz Edalatpajouh Dental Inc 1210 W Redondo Beach Blvd Gardena CA 90247-3411 Ph: (310) 523-9009 | Faraz Edalatpajouh Dental Inc 1210 W Redondo Beach Blvd Gardena CA 90247-3411 Ph: (310) 523-9009 |
| NPI Number | 1518737923 |
|---|---|
| Provider Enumeration Date | 01/05/2024 |
| Last Update Date | 01/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518737923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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