Organization
BADII LEE DENTAL CORPORATION, INC.
Active
Other names
Smile Wide
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIAVASH KEVIN BADII DDS, MDS (PRESIDENT)
(949) 596-8100
Entity
Organization
Contact information
Practice address
1001 W CARSON ST STE H, TORRANCE, CA 90502-2051
(310) 618-1522
(562) 618-9272
Mailing address
1920 MAIN ST STE 970, IRVINE, CA 92614-8275
(949) 596-8100
(562) 424-9807
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
CA
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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