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Organization
VAHEDI AND KHAKSHOOY DENTAL INCORPORATION
Active
Organization
VAHEDI AND KHAKSHOOY DENTAL INCORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOHEIL VAHEDI DDS (OWNER)
(424) 253-6378
Entity
Organization
Contact information
Practice address
4201 W CENTURY BLVD, INGLEWOOD, CA 90304-1617
(424) 253-6378
Mailing address
4201 W CENTURY BLVD, INGLEWOOD, CA 90304-1617
(424) 253-6378
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306982335
SOHEIL VAHEDI
CA
01
—
1750437109
SIAMAK KHAKSHOOY
CA
Enumeration date
10/12/2011
Last updated
10/12/2011
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