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Organization

ELHAM KHEIRKHAHI DDS MSD INC

Active
Parent organization
ELHAM KHEIRKHAHI DDS MSD INC
Other names
Advanced periodontics implant center
Organization subpart
Yes

Provider details

NPI number
Legal business name
ELHAM KHEIRKHAHI DDS MSD INC
Authorized official
DR. ELHAM KHEIRKHAHI-LOVE DDS MSD (DENTIST)
(760) 836-1809
Entity
Organization

Contact information

Practice address
72780 COUNTRY CLUB DR, SUITE # 402, RANCHO MIRAGE, CA 92270-4126
(760) 836-1809
(760) 270-9419
Mailing address
72780 COUNTRY CLUB DR, SUITE # 402, RANCHO MIRAGE, CA 92270-4126
(760) 836-1809
(760) 270-9419

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46081
CA

Other

Enumeration date
02/16/2007
Last updated
03/05/2012
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