Organization
KEIVAN SARRAF, DDS, INC
Active
Other names
Total Care Dental & Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
KEIVAN SARRAF DDS (CEO)
(310) 460-9546
Entity
Organization
Contact information
Practice address
2700 N BROADWAY, LOS ANGELES, CA 90031-2610
(323) 751-5600
Mailing address
11341 NATIONAL BLVD, PMB 1090, LOS ANGELES, CA 90064-3726
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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