Edalat DDS Inc.

NPI #1013577071 in San Clemente, California

Provider Information

NPI Number: 1013577071
Entity Type: Organization
Organization Name: Edalat DDS Inc.
Primary Specialty: Dentist - Endodontics
Enumeration Date: Jun 20, 2019
Last Updated: Aug 30, 2019

Practice Location

Address: 130 AVENIDA CABRILLO STE B
City: San Clemente
State: California
ZIP Code: 92672-5509
Phone: (949) 409-4080

Authorized Official

Name: DR. HOSSEIN EDALAT, DDS
Title: ENDODONTIST-OWNER
Phone: (310) 999-8777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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