Individual
DR. SAMAN VAHEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
1171 S ROBERTSON BLVD # 225, LOS ANGELES, CA 90035-1403
(310) 927-7666
Mailing address
12300 WILSHIRE BLVD, SUITE 326, LOS ANGELES, CA 90025
(310) 954-9449
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
63560
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A151497
CA
Other
Enumeration date
05/13/2010
Last updated
09/05/2017
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