Individual
DR. BITA DAVOODIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1959 KINGSDALE AVE STE 202, REDONDO BEACH, CA 90278-3417
(310) 793-1000
Mailing address
PO BOX 146, REDONDO BEACH, CA 90277-0146
(310) 372-6600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60768
CA
Other
Enumeration date
08/25/2011
Last updated
10/17/2012
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