Pouyan, DDS and Khanideh, Dds, Inc.
NPI #1780063594 in Santa Monica, California
Provider Information
- NPI Number
- 1780063594
- Entity Type
- Organization
- Organization Name
- Pouyan, DDS and Khanideh, Dds, Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 26, 2015
- Last Updated
- May 26, 2015
Practice Location
- Address
- 2730 WILSHIRE BLVD
- Address 2
- SUITE 100
- City
- Santa Monica
- State
- California
- ZIP Code
- 90403-4743
- Phone
- (310) 828-2440
Authorized Official
- Name
- DR. SHABNAM KHANIDEH, DMD
- Title
- SECRETARY
- Phone
- (310) 828-2440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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