Organization
ALBOORZ, LLC
Active
Other names
Kingdom of Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMAD A YAZDI DDS, PHD (MEMBER)
(310) 401-4300
Entity
Organization
Contact information
Practice address
49 KEENAN ST, WATERTOWN, MA 02472-2904
(310) 401-4300
Mailing address
1500 PASEO DE ORO, PACIFIC PALISADES, CA 90272-1962
(310) 401-4300
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
292200000X
Dental Laboratory
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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