KHASHAYAR KHODADADI DDS INC NPI 1003033556

NPI Information

KHASHAYAR KHODADADI DDS INC is a general practice dentist in Los Angeles, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. KHASHAYAR KHODADADI DDS INC NPI is 1003033556. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11900 S. AVALON BLVD.
SUITE 101
LOS ANGELES, CA
ZIP 90061
Phone: (323) 834-0100
Fax: (323) 834-0101

The provider's authorized official is Khashayar Khodadadi .
The authorized official title is President and has the following contact phone number (323) 834-0100.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 6/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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