Organization
BADII LEE DENTAL CORPORATION, INC
Active
Other names
SMILE WIDE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIAVASH KEVIN BADII DDS (DIRECTOR/OWNER)
(714) 835-2383
Entity
Organization
Contact information
Practice address
1007 W LA PALMA AVE, SUITE 2, ANAHEIM, CA 92801-3620
(714) 635-9390
(714) 635-9014
Mailing address
1007 W LA PALMA AVE, SUITE 2, ANAHEIM, CA 92801-3620
(714) 635-9390
(714) 635-9014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/17/2014
Last updated
03/30/2015
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