POUYAN, DDS AND KHANIDEH, DDS, INC.

SANTA MONICA, CA
NPI1780063594
Entity TypeOrganization
Authorized ContactSHABNAM KHANIDEH
Secretary
310-828-2440
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2015-05-26
Last Update Date2015-05-26
Business Address
POUYAN, DDS AND KHANIDEH, DDS, INC.
2730 WILSHIRE BLVD SUITE 100
SANTA MONICA, CA 90403-4743
Phone number: 310-828-2440
Mailing Address
POUYAN, DDS AND KHANIDEH, DDS, INC.
2730 WILSHIRE BLVD SUITE 100
SANTA MONICA, CA 90403-4743
Phone number: 310-828-2440
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