Organization
BADII DENTAL INC.
Active
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
1801 NEWPORT BLVD., SUITE B, COSTA MESA, CA 92627
(949) 548-5588
(949) 548-5731
Mailing address
1801 NEWPORT BLVD, SUITE B, COSTA MESA, CA 92627
(949) 548-5588
(949) 548-5731
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
05/11/2012
Last updated
03/30/2015
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