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1235995929
AZITA EZZATI
ENCINO, CA
NPI
1235995929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 109845)
Enumeration Date
2024-02-21
Last Update Date
2024-03-27
Business Address
AZITA EZZATI
5501 NEWCASTLE AVE APT 202
ENCINO, CA 91316-2176
Phone number: 818-277-9386
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Mailing Address
AZITA EZZATI
5501 NEWCASTLE AVE APT 202
ENCINO, CA 91316-2176
Phone number: 818-277-9442
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