Individual
KAVEH GHODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
30 N MADISON AVE UNIT 118, PASADENA, CA 91101-1794
(469) 939-4353
Mailing address
18564 OUTER HWY 18 STE 301, APPLE VALLEY, CA 92307-2340
(469) 939-4353
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
106399
CA
1223P0221X
Pediatric Dentistry
Primary
40196
TX
Other
Enumeration date
07/13/2023
Last updated
02/20/2024
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