| Khorsand Dmd Inc | |
|
646 W Main St Ste #a El Centro CA 92243 | |
| (760) 339-9992 | |
| (760) 353-3635 |
| Full Name | Khorsand Dmd Inc |
|---|---|
| Speciality | Dentist |
| Location | 646 W Main St, El Centro, California |
| Authorized Official Name and Position | Arash Khorsand (OWNER DENTIST) |
| Authorized Official Contact | 7603399992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khorsand Dmd Inc 646 W Main St Ste #a El Centro CA 92243 Ph: (760) 339-9992 | Khorsand Dmd Inc 646 W Main St Ste #a El Centro CA 92243 Ph: (760) 339-9992 |
| NPI Number | 1245243229 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245243229 | NPI | - | NPPES |
| G9379701 | Other | CA | DENTI CAL PROGRAM STATE O |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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