# MICHAEL NEDJAT-HAIEM DENTAL CORPORATION

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

## Provider details

- **NPI number:** 1376379123
- **Authorized official:** MICHAEL NEDJAT-HAIEM DDS (PRESIDENT)
- **Authorized official phone:** (310) 666-9024

## Contact information

- **Practice address:** 1901 SOLAR DR STE 250, OXNARD, CA 93036-0661
- **Practice address phone:** (805) 853-3636
- **Mailing address:** 200 N SWALL DR UNIT 504, BEVERLY HILLS, CA 90211-4725
- **Mailing address phone:** (310) 666-9024

## Taxonomy

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

## Other

- **Enumeration date:** 09/10/2024
- **Last updated:** 09/10/2024