Organization
SHAHROOZ SAIDIAN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHROOZ SAIDIAN DDS (OWNER)
(310) 552-2724
Entity
Organization
Contact information
Practice address
10231 SANTA MONICA BLVD STE D, LOS ANGELES, CA 90067
(310) 552-2724
(310) 552-1161
Mailing address
10231 SANTA MONICA BLVD STE D, LOS ANGELES, CA 90067-6424
(310) 552-2724
(310) 552-1161
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
62654
CA
Other
Enumeration date
08/15/2018
Last updated
09/05/2018
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