| Yasaman Zadeh D.d.s, Inc | |
|
10992 Ashton Ave Apt 302 Los Angeles CA 90024-4891 | |
| (310) 473-8052 | |
| Not Available |
| Full Name | Yasaman Zadeh D.d.s, Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 10992 Ashton Ave Apt 302, Los Angeles, California |
| Authorized Official Name and Position | Yasaman Hassanizadeh (PRESIDENT) |
| Authorized Official Contact | 3104301444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yasaman Zadeh D.d.s, Inc 10992 Ashton Ave Unit 302 Los Angeles CA 90024 Ph: (310) 473-8052 | Yasaman Zadeh D.d.s, Inc 10992 Ashton Ave Apt 302 Los Angeles CA 90024-4891 Ph: (310) 473-8052 |
| NPI Number | 1275781692 |
|---|---|
| Provider Enumeration Date | 08/28/2008 |
| Last Update Date | 08/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275781692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 57583 (California) | Primary |
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