Organization
BADII LEE DENTAL CORPORATION, INC.
Active
Other names
Smile Wide
Organization subpart
No
Provider details
NPI number
Authorized official
KIAVASH KEVIN BADII DDS, MDS (PRESIDENT)
(949) 596-8100
Entity
Organization
Contact information
Practice address
1920 MAIN STREET, SUITE 970, IRVINE, CA 92614
(949) 596-8100
Mailing address
128 WHITE FLOWER, IRVINE, CA 92603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54538
CA
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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