| Omid Barkhordar Dental Corporation | |
|
101 West Carson Street Carson CA 90745 | |
| (310) 513-0222 | |
| (310) 513-1352 |
| Full Name | Omid Barkhordar Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 West Carson Street, Carson, California |
| Authorized Official Name and Position | Omid Barkhordar (DENTIST) |
| Authorized Official Contact | 8186241601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omid Barkhordar Dental Corporation 101 West Carson Street Carson CA 90745 Ph: (310) 513-0222 | Omid Barkhordar Dental Corporation 101 West Carson Street Carson CA 90745 Ph: (310) 513-0222 |
| NPI Number | 1144676024 |
|---|---|
| Provider Enumeration Date | 05/10/2016 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144676024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 58536 (California) | Primary |
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