Farajzadeh, Edward
Farajzadeh, Edward is an sole proprietor health care provider with primary practice located at 13983 Mango Dr Ste 106 , Del Mar CA 92014-3146. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Farajzadeh, Edward can be contacted via phone (858) 792-6662.Contact Information
Primary practice address
13983 Mango Dr Ste 106
Del Mar CA 92014-3146
Phone: (858) 792-6662
Fax: (858) 792-0536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 33031 | California |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 33031 | California |
Profile Details
| NPI number | 1700895166 |
|---|---|
| LBN Legal business name | Farajzadeh, Edward |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Oct 17th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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