NPIRadar

Stacey Leila Dallalzadeh, DDS Valid NPI

Individual provider · General Practice Dentistry · Woodland Hills, CA

NPI
1558036459
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
106825 (CA)
Sex
Female
Sole proprietor
Yes
Enumerated
2021-08-12
Last updated
2021-08-12
Practice location
4617 Degovia Ave
Woodland Hills, CA 91364-3713
(818) 675-4091

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