| Siamak Khakshooy D.d.s Inc. | |
|
3451 W Century Blvd Ste B1 Inglewood CA 90303-1228 | |
| (310) 330-9000 | |
| (310) 330-9303 |
| Full Name | Siamak Khakshooy D.d.s Inc. |
|---|---|
| Speciality | Dentist |
| Location | 3451 W Century Blvd Ste B1, Inglewood, California |
| Authorized Official Name and Position | Siamak Khakshooy (DENTIST) |
| Authorized Official Contact | 3109259991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siamak Khakshooy D.d.s Inc. 3451 W Century Blvd Ste B1 Inglewood CA 90303-1228 Ph: (310) 330-9000 | Siamak Khakshooy D.d.s Inc. 3451 W Century Blvd Ste B1 Inglewood CA 90303-1228 Ph: (310) 330-9000 |
| NPI Number | 1396938569 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 08/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396938569 | NPI | - | NPPES |
| 1750437109 | Other | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 54539 (California) | Primary |
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