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1457117152
ANDIA EZZATI
ENCINO, CA
NPI
1457117152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 109836)
Enumeration Date
2024-02-21
Last Update Date
2025-01-08
Business Address
ANDIA EZZATI
5501 NEWCASTLE AVE APT 202
ENCINO, CA 91316-2176
Phone number: 818-277-9442
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Mailing Address
ANDIA EZZATI
5501 NEWCASTLE AVE APT 202
ENCINO, CA 91316-2176
Phone number: 818-277-9442
Copy
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