Rf Edalatpajouh Dental Inc | |
36755 Tierra Subida Ave Ste 140 Palmdale CA 93551-7959 | |
(310) 529-7292 | |
Not Available |
Full Name | Rf Edalatpajouh Dental Inc |
---|---|
Speciality | Dentist |
Location | 36755 Tierra Subida Ave Ste 140, Palmdale, California |
Authorized Official Name and Position | Ryan Edalatpajouh (VICE PRESIDENT) |
Authorized Official Contact | 3105297292 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rf Edalatpajouh Dental Inc 36755 Tierra Subida Ave Ste 140 Palmdale CA 93551-7959 Ph: () - | Rf Edalatpajouh Dental Inc 36755 Tierra Subida Ave Ste 140 Palmdale CA 93551-7959 Ph: (310) 529-7292 |
NPI Number | 1467271569 |
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Provider Enumeration Date | 10/07/2024 |
Last Update Date | 10/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467271569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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