Heydar Shahrokh DDS INC

NPI #1700240793 in Hawthorne, California

Provider Information

NPI Number: 1700240793
Entity Type: Organization
Organization Name: Heydar Shahrokh DDS INC
Primary Specialty: Dentist
Enumeration Date: Apr 6, 2016
Last Updated: Apr 6, 2016

Practice Location

Address: 4277 W EL SEGUNDO BLVD
City: Hawthorne
State: California
ZIP Code: 90250-4548
Phone: (310) 970-0900

Authorized Official

Name: DR. HEYDAR SHAHROKH, DDS
Title: PRESIDENT
Phone: (310) 963-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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