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Organization

BADII LEE DENTAL CORPORATION

Active
Other names
Smile Wide
Organization subpart
No

Provider details

NPI number
Authorized official
KIAVASH KEVIN BADII DDS , MDS (PRESIDENT)
(949) 596-8100
Entity
Organization

Contact information

Practice address
2360 PACIFIC AVE, LONG BEACH, CA 90806-3051
(562) 595-0731
(562) 595-6462
Mailing address
1920 MAIN ST STE 970, IRVINE, CA 92614-8275
(949) 596-8100
(562) 424-9807

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54538
CA

Other

Enumeration date
02/04/2015
Last updated
02/04/2015
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