Organization
COHEN & KEIHANI & JABAITI DENTAL CORP
Active
Other names
Simple Dental Southgate
Organization subpart
No
Provider details
NPI number
Authorized official
KOUROSH KEIHANI DDS (OWNER/DENTIST)
(310) 562-2047
Entity
Organization
Contact information
Practice address
8617 CALIFORNIA AVE, SOUTH GATE, CA 90280-3003
(323) 999-2378
Mailing address
8617 CALIFORNIA AVE, SOUTH GATE, CA 90280-3003
(323) 999-2378
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/08/2025
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