Keivan Sarraf, Dds, INC

NPI #1447556840 in Baldwin Park, California

Provider Information

NPI Number: 1447556840
Entity Type: Organization
Organization Name: Keivan Sarraf, Dds, INC
Subpart: Yes (part of a larger organization)
Parent Organization: KEIVAN SARRAF, DDS, INC
Primary Specialty: Dentist
Enumeration Date: Feb 2, 2011
Last Updated: Feb 2, 2011

Practice Location

Address: 3060 BALDWIN PARK BLVD STE D100
City: Baldwin Park
State: California
ZIP Code: 91706-4704
Phone: (310) 460-9546

Authorized Official

Name: DR. KEIVAN SARRAF, DDS
Title: CEO
Phone: (310) 460-9546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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