# KEIKHAN & FAHID, A DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124357397
- **Authorized official:** DR. KOUROSH KEIKHANZADEH D.D.S., M.D.S.C (PRESIDENT)
- **Authorized official phone:** (661) 222-7267

## Contact information

- **Practice address:** 25880 TOURNAMENT RD, SUITE 106, VALENCIA, CA 91355-2349
- **Practice address phone:** (661) 222-7267
- **Practice address fax:** (661) 222-7269
- **Mailing address:** 25880 TOURNAMENT RD, SUITE 106, VALENCIA, CA 91355-2349
- **Mailing address phone:** (661) 222-7267
- **Mailing address fax:** (661) 222-7269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 53806 | CA | Yes |

## Other

- **Enumeration date:** 12/16/2009
- **Last updated:** 12/16/2009