Organization
BEHNAZ KHODADAD, DDS, INC
Active
Other names
BK Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEHNAZ KHODADAD DDS (DENTIST)
(951) 243-5607
Entity
Organization
Contact information
Practice address
24318 HEMLOCK AVE STE G2, MORENO VALLEY, CA 92557-7226
(951) 243-5607
(951) 243-2979
Mailing address
24318 HEMLOCK AVE STE G2, MORENO VALLEY, CA 92557-7226
(951) 243-5607
(951) 243-2979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54158
CA
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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