# SOHEIL KHODADADI DMD DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Group of Beverly Hills
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528235223
- **Authorized official:** DR. SOHEIL KHODADADI DMD, DDS (OWNER/CEO)
- **Authorized official phone:** (310) 271-3003

## Contact information

- **Practice address:** 250 N ROBERTSON BLVD, SUITE 412, BEVERLY HILLS, CA 90211-1788
- **Practice address phone:** (310) 271-3003
- **Practice address fax:** (310) 271-6299
- **Mailing address:** 250 N ROBERTSON BLVD, SUITE 412, BEVERLY HILLS, CA 90211-1788
- **Mailing address phone:** (310) 271-3003
- **Mailing address fax:** (310) 271-6299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 39024 | CA | Yes |

## Other

- **Enumeration date:** 05/12/2008
- **Last updated:** 05/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1710042478 | NPI NUMBER | CA |