# ELHAM KHEIRKHAHI DDS MSD INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ELHAM KHEIRKHAHI DDS MSD INC
- **Other names:** Advanced periodontics implant center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053455923
- **Legal business name:** ELHAM KHEIRKHAHI DDS MSD INC
- **Authorized official:** DR. ELHAM KHEIRKHAHI-LOVE DDS MSD (DENTIST)
- **Authorized official phone:** (760) 836-1809

## Contact information

- **Practice address:** 72780 COUNTRY CLUB DR, SUITE \# 402, RANCHO MIRAGE, CA 92270-4126
- **Practice address phone:** (760) 836-1809
- **Practice address fax:** (760) 270-9419
- **Mailing address:** 72780 COUNTRY CLUB DR, SUITE \# 402, RANCHO MIRAGE, CA 92270-4126
- **Mailing address phone:** (760) 836-1809
- **Mailing address fax:** (760) 270-9419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 46081 | CA | Yes |

## Other

- **Enumeration date:** 02/16/2007
- **Last updated:** 03/05/2012