| Kelishadi Samani Dental Corp | |
|
23541 Avalon Blvd Carson CA 90745 | |
| (310) 830-3500 | |
| (310) 830-7994 |
| Full Name | Kelishadi Samani Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 23541 Avalon Blvd, Carson, California |
| Authorized Official Name and Position | Marjan Kelishadi (DENTIST) |
| Authorized Official Contact | 3108303500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelishadi Samani Dental Corp 23541 Avalon Blvd Carson CA 90745 Ph: (310) 830-3500 | Kelishadi Samani Dental Corp 23541 Avalon Blvd Carson CA 90745 Ph: (310) 830-3500 |
| NPI Number | 1508069576 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 07/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508069576 | NPI | - | NPPES |
| G9300701 | Medicaid | CA | |
| 809101 | Other | CA | UNITED CONCORDIA |
| 612331200 | Other | CA | AFFILIATED COMPUTER SERVI |
| G9805001 | Other | CA | HEALTHY FAMILIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41930 (California) | Primary |
Hughes Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20930 Bonita St Ste X, Carson, CA 90746 Phone: 310-523-2161 | |
Children's Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20700 Avalon Blvd, Suite 600, Carson, CA 90746 Phone: 310-241-6175 Fax: 323-249-7565 | |
Ofelia K. Costales, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23517 South Main St Ste 102, Carson, CA 90745 Phone: 310-518-6802 | |
Guadalupe L Pereira A Prof Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 W Carson St, Carson, CA 90745 Phone: 310-835-4088 | |
Dr. Lum & Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21847 Avalon Blvd, Carson, CA 90745 Phone: 310-549-9710 Fax: 310-549-4049 | |
Omid Barkhordar Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 West Carson Street, Carson, CA 90745 Phone: 310-513-0222 Fax: 310-513-1352 | |
Dominguez Hills Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20930 Bonita St, Suite T, Carson, CA 90746 Phone: 310-515-1490 Fax: 310-515-0032 |