Organization
JAVID DENTAL CORPORATION
Active
Other names
Dr. Smile
Organization subpart
No
Provider details
NPI number
Authorized official
KAYVON JAVID (OWNER)
(310) 325-8555
Entity
Organization
Contact information
Practice address
24667 CRENSHAW BLVD STE D, TORRANCE, CA 90505-5360
(310) 325-8555
Mailing address
24667 CRENSHAW BLVD STE D, TORRANCE, CA 90505-5360
(310) 325-8555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
48617
CA
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629413547
NPI
CA
Enumeration date
10/20/2016
Last updated
07/01/2022
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