| NPI | 1003953126 |
|---|---|
| Doing Business As | CALIFORNIA FAMILY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MEHRDAD KHOSHROZEH Owner/ President 310-386-8246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43990) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 49906) |
| 1223G0001X Dentist, General Practice (Licence: CA 43515) | |
| 1223G0001X Dentist, General Practice (Licence: CA 49909) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 53064) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 53901) | |
| 1223P0300X Dentist, Periodontics (Licence: CA 30624) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 73479) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA A91274) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 20482) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-11-16 |