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Organization
KHODADADI, ALIREZAEI AND KEIHANI DENTAL CORP
Active
Organization
KHODADADI, ALIREZAEI AND KEIHANI DENTAL CORP
Active
Other names
Oxnard Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOUROSH KEIHANI D.D.S (PRESIDENT/DENTIST)
(310) 562-2046
Entity
Organization
Contact information
Practice address
1730 E GONZALES RD, OXNARD, CA 93036-3701
(805) 604-9999
(805) 364-4677
Mailing address
1730 E GONZALES RD, OXNARD, CA 93036-3701
(805) 604-9999
(805) 364-4677
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
39024
CA
261QD0000X
Dental Clinic/Center
48872
CA
261QD0000X
Dental Clinic/Center
Primary
63776
CA
Other
Enumeration date
03/22/2016
Last updated
06/13/2016
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