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Organization
KHORSANDI DENTAL PRACTICE, PLLC
Active
Organization
KHORSANDI DENTAL PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ROLLINGS (CHIEF ADMINISTRATIVE OFFICER)
(717) 849-4381
Entity
Organization
Contact information
Practice address
1556 20TH ST, SANTA MONICA, CA 90404-3465
(717) 849-4381
Mailing address
1556 20TH ST, SANTA MONICA, CA 90404-3465
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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