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Organization

DR. KHAKSHOOY & DR. VAHEDI DENTAL, INC.

Active
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Organization

DR. KHAKSHOOY & DR. VAHEDI DENTAL, INC.

Active
Parent organization
VAHEDI & KHAKSHOOY DENTAL INC.
Other names
Salud Dental Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
VAHEDI & KHAKSHOOY DENTAL INC.
Authorized official
DR. SIAMAK KHAKSHOOY DDS (PRESIDENT)
(310) 925-9991
Entity
Organization

Contact information

Practice address
2621 EAST FIRST STREET, LOS ANGELES, CA 90033
(323) 268-9386
(323) 268-9386
Mailing address
2621 EAST FIRST STREET, LOS ANGELES, CA 90033
(323) 268-9386
(323) 268-9524

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
54539
CA
1223G0001X
General Practice Dentistry
Primary
54735
CA

Other

Enumeration date
05/21/2015
Last updated
02/29/2016
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