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1316544570
AZZAH WIDATALLA
LOS ANGELES, CA
NPI
1316544570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 105590)
Enumeration Date
2020-10-01
Last Update Date
2020-10-01
Business Address
Dr. AZZAH WIDATALLA DDS
5455 WILSHIRE BLVD STE 850
LOS ANGELES, CA 90036-4234
Phone number: 323-930-4600
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Mailing Address
Dr. AZZAH WIDATALLA DDS
428 N OGDEN DR APT 4
LOS ANGELES, CA 90036-1726
Phone number:
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