| Poria Edalat, Dds, Apc | |
|
5906 Monterey Rd Los Angeles CA 90042 | |
| (323) 256-2680 | |
| Not Available |
| Full Name | Poria Edalat, Dds, Apc |
|---|---|
| Speciality | Dentist |
| Location | 5906 Monterey Rd, Los Angeles, California |
| Authorized Official Name and Position | Poria Edalat (PRESIDENT) |
| Authorized Official Contact | 8182976595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poria Edalat, Dds, Apc 5906 Monterey Rd Los Angeles CA 90042-4943 Ph: (323) 256-2680 | Poria Edalat, Dds, Apc 5906 Monterey Rd Los Angeles CA 90042 Ph: (323) 256-2680 |
| NPI Number | 1477045045 |
|---|---|
| Provider Enumeration Date | 05/30/2018 |
| Last Update Date | 05/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477045045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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