# KEIVAN SARRAF, DDS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Total Care Dental & Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851197750
- **Authorized official:** KEIVAN SARRAF DDS (CEO)
- **Authorized official phone:** (310) 460-9546

## Contact information

- **Practice address:** 2700 N BROADWAY, LOS ANGELES, CA 90031-2610
- **Practice address phone:** (323) 751-5600
- **Mailing address:** 11341 NATIONAL BLVD, PMB 1090, LOS ANGELES, CA 90064-3726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223P0221X | Pediatric Dentistry | — | NULL | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2025
- **Last updated:** 02/21/2025