Khashayar Khodadadi Dds Inc

NPI 1003033556 - Dentist - 1223G0001X

NPI Details
NPI 1003033556
Enumeration Date 04/19/2007
Last Updated 06/14/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KHASHAYAR KHASHAYAR
Position PRESIDENT
Phone (323) 834-0100
Fax (323) 834-0101
Practice Location
11900 S. AVALON BLVD.
SUITE 101
LOS ANGELES CA, 90061, US
Phone (323) 834-0100
Fax (323) 834-0101
Business Location
11900 S. AVALON BLVD.
SUITE 101
LOS ANGELES CA, 90061, US
Phone (323) 834-0100
Fax (323) 834-0101
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 43026
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According to our database, Khashayar Khodadadi Dds Inc NPI is 1003033556, taxonomy code is 1223G0001X and license number is 43026, license state is located at California. Khashayar Khodadadi Dds Inc physically located at 11900 S. Avalon Blvd., Los Angeles CA, 90061. NPI Number 1033115704 has the healthcare provider type.

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1003033556 NPI number is provided on an as is basis without warranty of any kind. 1003033556 is maintained by the National Plan & Provider Enumeration System. The contents of Khashayar Khodadadi Dds Inc are for informational purposes only.