Individual provider · NPI-1

Chantelle Aabedi

Dentist · Los Angeles, CA

NPI number1740895150
StatusActive
Last updated in NPPESSep 11, 2020

Details

NPI
1740895150
Entity type
Individual (NPI-1)
Name
Chantelle Aabedi
Sex
Female
Sole proprietor
No
Enumeration date
Sep 11, 2020
Certification date
Sep 11, 2020
Last updated
Sep 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist105490CAYes

Practice location

2711 Casiano Rd
Los Angeles, CA 90077-9007

Phone 310-228-7048

Mailing address

2711 Casiano Rd
Los Angeles, CA 90077-1509

Phone 310-228-7048

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