| Javid And Nadi Dental Corporation | |
|
2104 Pacific Coast Hwy Lomita CA 90717-2584 | |
| (310) 539-1111 | |
| Not Available |
| Full Name | Javid And Nadi Dental Corporation |
|---|---|
| Speciality | Clinic/center - Oral And Maxillofacial Surgery |
| Location | 2104 Pacific Coast Hwy, Lomita, California |
| Authorized Official Name and Position | Kayvon Hakimi Javid (PRESIDENT) |
| Authorized Official Contact | 3105391111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Javid And Nadi Dental Corporation 2104 Pacific Coast Hwy Lomita CA 90717-2584 Ph: (310) 539-1111 | Javid And Nadi Dental Corporation 2104 Pacific Coast Hwy Lomita CA 90717-2584 Ph: (310) 539-1111 |
| NPI Number | 1629413547 |
|---|---|
| Provider Enumeration Date | 05/06/2013 |
| Last Update Date | 06/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629413547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 48617 (California) | Secondary |
| 261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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