| Khodadadi Dental Corporation | |
|
8500 Wilshire Blvd Ste 527 Beverly Hills CA 90211-3111 | |
| (310) 666-9024 | |
| Not Available |
| Full Name | Khodadadi Dental Corporation |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 8500 Wilshire Blvd Ste 527, Beverly Hills, California |
| Authorized Official Name and Position | Soheil Khodadadi (PRESIDENT) |
| Authorized Official Contact | 3107175499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khodadadi Dental Corporation 200 N Swall Dr Unit 504 Beverly Hills CA 90211-4725 Ph: (310) 666-9024 | Khodadadi Dental Corporation 8500 Wilshire Blvd Ste 527 Beverly Hills CA 90211-3111 Ph: (310) 666-9024 |
| NPI Number | 1326860495 |
|---|---|
| Provider Enumeration Date | 10/29/2024 |
| Last Update Date | 10/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326860495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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