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Organization

BARKHORDAR DENTAL, INC.

Active
Other names
EL SEGUNDO MODERN DENTISTRY
Organization subpart
No

Provider details

NPI number
Authorized official
HAMID BARKHORDAR DDS (PRESIDENT)
(818) 674-1060
Entity
Organization

Contact information

Practice address
310 E GRAND AVE STE 102, EL SEGUNDO, CA 90245-3871
(424) 277-1138
Mailing address
310 E GRAND AVE STE 102, EL SEGUNDO, CA 90245-3871
(424) 277-1138

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1538607965
NPI
CA
01
1821229444
NPI
CA
Enumeration date
08/04/2017
Last updated
03/25/2026
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