Organization · Type 2 NPI

Dr. Khakshooy & Dr. Vahedi Dental, Inc.

General Practice Dentistry · Los Angeles, CA

NPI number 1790164960 Active

Practice location

2621 East First Street
Los Angeles, CA 90033

Fax (323) 268-9386

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	54735 (CA)
General Practice Dentistry	1223G0001X	54539 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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NPI record

NPI: 1790164960
Entity type: Organization (Type 2)
Issued: May 21, 2015
Last updated: Feb 29, 2016
Status: Active
Subpart: Yes of Vahedi & Khakshooy Dental Inc.

Other names

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Salud Dental Group · doing business as

Authorized official

Dr. Siamak Khakshooy, DDS
President
(310) 925-9991

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1790164960

Dr. Khakshooy & Dr. Vahedi Dental, Inc.'s National Provider Identifier is 1790164960, issued on May 21, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 29, 2016.