| R Edalatpajouh Dental Inc | |
|
2205 E Palmdale Blvd Palmdale CA 93550-1316 | |
| (310) 529-7292 | |
| Not Available |
| Full Name | R Edalatpajouh Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | 2205 E Palmdale Blvd, Palmdale, California |
| Authorized Official Name and Position | Ryan Edalatpajouh (OWNER) |
| Authorized Official Contact | 3105297292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R Edalatpajouh Dental Inc 2205 E Palmdale Blvd Palmdale CA 93550-1316 Ph: (310) 529-7292 | R Edalatpajouh Dental Inc 2205 E Palmdale Blvd Palmdale CA 93550-1316 Ph: (310) 529-7292 |
| NPI Number | 1619611944 |
|---|---|
| Provider Enumeration Date | 04/22/2022 |
| Last Update Date | 04/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619611944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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