| Sina Edalat Dds, Inc | |
|
1739 Colorado Blvd Los Angeles CA 90041-1348 | |
| (323) 344-0682 | |
| Not Available |
| Full Name | Sina Edalat Dds, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1739 Colorado Blvd, Los Angeles, California |
| Authorized Official Name and Position | Sina Edalat (PRESIDENT) |
| Authorized Official Contact | 3233440682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sina Edalat Dds, Inc 5906 Monterey Rd Los Angeles CA 90042-4943 Ph: (818) 934-3666 | Sina Edalat Dds, Inc 1739 Colorado Blvd Los Angeles CA 90041-1348 Ph: (323) 344-0682 |
| NPI Number | 1174169452 |
|---|---|
| Provider Enumeration Date | 11/21/2019 |
| Last Update Date | 03/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174169452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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