Organization
KEIKHAN & FAHID, A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOUROSH KEIKHANZADEH D.D.S., M.D.S.C (PRESIDENT)
(661) 222-7267
Entity
Organization
Contact information
Practice address
25880 TOURNAMENT RD, SUITE 106, VALENCIA, CA 91355-2349
(661) 222-7267
(661) 222-7269
Mailing address
25880 TOURNAMENT RD, SUITE 106, VALENCIA, CA 91355-2349
(661) 222-7267
(661) 222-7269
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
53806
CA
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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