Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AHMAD REZA EDALATI SHARBAF
Active Sole ProprietorAHMAD REZA EDALATI SHARBAF is a Pediatric Dentistry healthcare provider located in KENNER, Louisiana. NPI 1912736851 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · KENNER, LA
Registration Details
- NPI Number
- 1912736851
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 30, 2024 (2.0527075759822 yrs)
- Last Updated
- Jul 30, 2024
- License
-
S-113 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3701 WILLIAMS BLVD STE 253KENNER, LA, 700653067Browse LA providers · Browse ZIP 70065
- Phone
- 5044691551
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.