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Organization
SOHEIL KHODADADI DMD DDS INC
Active
Organization
SOHEIL KHODADADI DMD DDS INC
Active
Other names
Dental Group of Beverly Hills
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOHEIL KHODADADI DMD, DDS (OWNER/CEO)
(310) 271-3003
Entity
Organization
Contact information
Practice address
250 N ROBERTSON BLVD, SUITE 412, BEVERLY HILLS, CA 90211-1788
(310) 271-3003
(310) 271-6299
Mailing address
250 N ROBERTSON BLVD, SUITE 412, BEVERLY HILLS, CA 90211-1788
(310) 271-3003
(310) 271-6299
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
05/12/2008
Last updated
05/12/2008
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