Organization
KHODADADI, ALIREZAEI AND KEIHANI DENTAL CORP
Active
Other names
Oxnard Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOUROSH KEIHANI D.D.S (PRESIDENT/DENTIST)
(310) 562-2046
Entity
Organization
Contact information
Practice address
1730 E GONZALES RD, OXNARD, CA 93036-3701
(805) 604-9999
(805) 364-4677
Mailing address
1730 E GONZALES RD, OXNARD, CA 93036-3701
(805) 604-9999
(805) 364-4677
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
39024
CA
261QD0000X
Dental Clinic/Center
48872
CA
261QD0000X
Dental Clinic/Center
Primary
63776
CA
Other
Enumeration date
03/22/2016
Last updated
06/13/2016
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