POUYAN DDS AND KHANIDEH DDS INC. NPI 1780063594

NPI Information

POUYAN, DDS AND KHANIDEH, DDS, INC. is a general practice dentist in Santa Monica, 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. POUYAN, DDS AND KHANIDEH, DDS, INC. NPI is 1780063594. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2730 WILSHIRE BLVD
SUITE 100
SANTA MONICA, CA
ZIP 90403-743
Phone: (310) 828-2440
Fax: (310) 828-0177

The provider's authorized official is Shabnam Khanideh .
The authorized official title is Secretary and has the following contact phone number (310) 828-2440.

The enumeration date for this NPI number is 5/26/2015 and was last updated on 5/26/2015.

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:

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