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Organization
KHORSANDI DENTAL PRACTICE, PC
Active
Organization
KHORSANDI DENTAL PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ROLLINGS (CHIEF ADMINISTRATIVE OFFICER)
(717) 586-8942
Entity
Organization
Contact information
Practice address
1556 20TH ST STE A, SANTA MONICA, CA 90404-3466
(866) 765-2327
Mailing address
1556 20TH ST STE A, SANTA MONICA, CA 90404-3466
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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