| Natalie Khadavi, Dds, Inc | |
|
12331 1/4 W Washington Blvd Los Angeles CA 90066-5509 | |
| (310) 482-3971 | |
| Not Available |
| Full Name | Natalie Khadavi, Dds, Inc |
|---|---|
| Speciality | Dentist |
| Location | 12331 1/4 W Washington Blvd, Los Angeles, California |
| Authorized Official Name and Position | Natalie Deborah Khadavi (OWNER DENTIST) |
| Authorized Official Contact | 8184278585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Natalie Khadavi, Dds, Inc 12331 1/4 W Washington Blvd Los Angeles CA 90066-5509 Ph: (310) 482-3971 | Natalie Khadavi, Dds, Inc 12331 1/4 W Washington Blvd Los Angeles CA 90066-5509 Ph: (310) 482-3971 |
| NPI Number | 1811211022 |
|---|---|
| Provider Enumeration Date | 03/16/2010 |
| Last Update Date | 03/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811211022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 57048 (California) | Primary |
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