Fereshteh Yousefzadeh, Dds, Msd, Inc | |
10884 Santa Monica Blvd Ste 401 Los Angeles CA 90025-7639 | |
(310) 750-4621 | |
Not Available |
Full Name | Fereshteh Yousefzadeh, Dds, Msd, Inc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 10884 Santa Monica Blvd Ste 401, Los Angeles, California |
Authorized Official Name and Position | Fereshteh Yousefzadeh (ORTHODONTIST) |
Authorized Official Contact | 3107951319 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fereshteh Yousefzadeh, Dds, Msd, Inc 900 N Tigertail Rd Los Angeles CA 90049-1419 Ph: (310) 795-1319 | Fereshteh Yousefzadeh, Dds, Msd, Inc 10884 Santa Monica Blvd Ste 401 Los Angeles CA 90025-7639 Ph: (310) 750-4621 |
NPI Number | 1225805997 |
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Provider Enumeration Date | 12/04/2023 |
Last Update Date | 12/04/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225805997 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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