Organization
BAKER AND KHORSAND DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARASH KHORSAND DMD (OWNER DENTIST)
(760) 339-9992
Entity
Organization
Contact information
Practice address
646 W MAIN ST, STE #A, EL CENTRO, CA 92243
(760) 339-9992
(760) 353-3635
Mailing address
646 W MAIN ST, STE #A, EL CENTRO, CA 92243
(760) 339-9992
(760) 353-3635
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9179884
DORAL DENTAL SERVICES OF
CA
01
—
G98614
DELTA DENTAL HELATHY FAMI
CA
Enumeration date
08/14/2006
Last updated
08/22/2020
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