KHADAVI DENTAL GROUP NPI 1689261661

NPI Information

  • NPI: 1689261661
  • Provider Name: KHADAVI DENTAL GROUP
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 17709 SATICOY ST
    RESEDA, CA
    ZIP 91335
  • Phone: (818) 757-0017

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NPI Details

KHADAVI DENTAL GROUP is a dental clinic center in Reseda, CA. KHADAVI DENTAL GROUP NPI is 1689261661. The provider is registered as an organization entity type.

The provider's business location address is:

17709 SATICOY ST
RESEDA, CA
ZIP 91335-350
Phone: (818) 757-0017

The provider's authorized official is Natalie Khadavi .
The authorized official title is President and has the following contact phone number (818) 427-8585.

The enumeration date for this NPI number is 12/24/2020 and was last updated on 12/24/2020.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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