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Organization
SUZAN KHAJAVI DDS, INC
Active
Organization
SUZAN KHAJAVI DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZAN CATHRYN KHAJAVI DDS (OWNER)
(562) 591-6070
Entity
Organization
Contact information
Practice address
1075 E PACIFIC COAST HWY, SUITE D, LONG BEACH, CA 90806-5089
(562) 591-6070
Mailing address
1075 E PACIFIC COAST HWY, SUITE D, LONG BEACH, CA 90806-5089
(562) 591-6070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61587
CA
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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