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1912736851
AHMAD REZA EDALATI SHARBAF
KENNER, LA
NPI
1912736851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: LA S-113)
Enumeration Date
2024-07-30
Last Update Date
2024-07-30
Business Address
AHMAD REZA EDALATI SHARBAF
3701 WILLIAMS BLVD STE 253
KENNER, LA 70065-3067
Phone number: 504-469-1551
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Mailing Address
AHMAD REZA EDALATI SHARBAF
6468 AVENUE B
NEW ORLEANS, LA 70124-2160
Phone number: 916-294-5214
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