Organization
KEIHANI DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOUROSH KEIHANI DDS (OWNER)
(310) 562-2046
Entity
Organization
Contact information
Practice address
8641 WILSHIRE BLVD STE 125, BEVERLY HILLS, CA 90211-2945
(310) 562-2046
Mailing address
8641 WILSHIRE BLVD STE 125, BEVERLY HILLS, CA 90211-2945
(310) 562-2046
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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