| NPI | 1225793458 |
|---|---|
| Former Legal Business Name | SINA EDALAT DENTAL GROUP, INC |
| Entity Type | Organization |
| Authorized Contact | SINA EDALAT President 323-344-0682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2023-03-15 |