AHMAD REZA EDALATI SHARBAF

KENNER, LA
NPI1912736851
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: LA  S-113)
Enumeration Date2024-07-30
Last Update Date2024-07-30
Business Address
AHMAD REZA EDALATI SHARBAF
3701 WILLIAMS BLVD STE 253
KENNER, LA 70065-3067
Phone number: 504-469-1551
Mailing Address
AHMAD REZA EDALATI SHARBAF
6468 AVENUE B
NEW ORLEANS, LA 70124-2160
Phone number: 916-294-5214