Organization
BADII LEE DENTAL CORPORATION, INC
Active
Other names
SMILE WIDE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIAVASH KEVIN BADII DDS MDS (DIRECTOR/OWNER)
(949) 548-5588
Entity
Organization
Contact information
Practice address
1109 W 17TH ST, SANTA ANA, CA 92706-3505
(714) 835-2383
(714) 835-3917
Mailing address
1109 W 17TH ST, SANTA ANA, CA 92706-3505
(714) 835-2383
(714) 835-3917
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
06/06/2012
Last updated
03/30/2015
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