Individual
BEHRAD VAHDATI NIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
514 E WASHINGTON BLVD, LOS ANGELES, CA 90015-3723
(213) 749-3934
Mailing address
P.O. BOX #249 10586 W PICO BLVD, LOS ANGELES, CA 90064
(408) 857-5701
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS105234
CA
Other
Enumeration date
08/27/2020
Last updated
08/27/2020
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