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Organization
SOHEIL KHODADADI DMD, DDS, INC.
Active
Organization
SOHEIL KHODADADI DMD, DDS, INC.
Active
Other names
Hemet Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOHEIL KHODADADI DMD, DDS (OWNER/CEO)
(951) 765-5544
Entity
Organization
Contact information
Practice address
1300 E FLORIDA AVE, SPACE #A20, HEMET, CA 92544-8640
(951) 765-5544
(951) 765-5511
Mailing address
1300 E FLORIDA AVE, SPACE #A20, HEMET, CA 92544-8640
(951) 765-5544
(951) 765-5511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39024
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710042478
NPI NUMBER
CA
Enumeration date
08/14/2007
Last updated
08/14/2007
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