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Organization
PACIFIC COAST DENTAL INC.
Active
Organization
PACIFIC COAST DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALID KHOUDARI D.D.S (OWNER DENTIST)
(310) 360-8250
Entity
Organization
Contact information
Practice address
239 S. LA CIENEGA BLVD, SUITE 206, BEVERLY HILLS, CA 90211
(310) 360-8250
Mailing address
239 S. LA CIENEGA BLVD, SUITE 206, BEVERLY HILLS, CA 90211
(310) 360-8250
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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