Organization
B. YOUSEFI DDS INC
Active
Other names
Children's Happy Teeth/ Happy Braces
Organization subpart
No
Provider details
NPI number
Authorized official
BABAK YOUSEFI (PRESIDENT)
(562) 420-4400
Entity
Organization
Contact information
Practice address
2124 REDONDO BEACH BLVD, TORRANCE, CA 90504-1616
(562) 420-4400
Mailing address
4134 WOODRUFF AVE, LAKEWOOD, CA 90713-3141
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174723506
—
CA
Enumeration date
06/19/2019
Last updated
06/19/2019
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