Organization
KHADAVI DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATALIE KHADAVI DDS (PRESIDENT)
(818) 427-8585
Entity
Organization
Contact information
Practice address
17709 SATICOY ST, RESEDA, CA 91335-3350
(818) 757-0017
Mailing address
17709 SATICOY ST, RESEDA, CA 91335-3350
(818) 757-0017
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/24/2020
Last updated
12/24/2020
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