Organization
K JAVID D.D.S AND M NADI D.D.S INC
Active
Other names
Dr. Smile San Pedro
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAYVON JAVID DDS (OWNER/DDS)
(310) 548-8128
Entity
Organization
Contact information
Practice address
1622 S GAFFEY ST, SUITE #102, SAN PEDRO, CA 90731-4658
(310) 548-8128
(310) 548-8138
Mailing address
1622 S GAFFEY ST, SUITE #102, SAN PEDRO, CA 90731-4658
(310) 548-8128
(310) 548-8138
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
48617
CA
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2016
Last updated
07/08/2022
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