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Reza Edalati

NPI 1912736851 · on the registry since 2024 · sole proprietor

Practice

Address
3701 Williams Blvd Ste 253
Kenner, LA 70065
Phone
(504) 469-1551
Organisation at this address
Precision Dental & Implant Center
Dr. Manuel M. De La Rua, O.D., L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223P0700X
1223P0700X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana