Organization
BADII LEE DENTAL CORPORATION, INC
Active
Other names
Smile Wide
Organization subpart
No
Provider details
NPI number
Authorized official
KIAVASH KEVIN BADII DDS (PRESIDENT)
(714) 835-2383
Entity
Organization
Contact information
Practice address
22330 HAWTHORNE BLVD., SUITE 2016, TORRANCE, CA 90505
(310) 375-5801
(310) 375-6071
Mailing address
22330 HAWTHORNE BLVD., SUITE 2016, TORRANCE, CA 90505
(310) 375-5801
(310) 375-6071
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
54538
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/23/2009
Last updated
10/27/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up