Khorsandi Dental Practice, PC

NPI #1992451629 in Santa Monica, California

Provider Information

NPI Number: 1992451629
Entity Type: Organization
Organization Name: Khorsandi Dental Practice, PC
Primary Specialty: Dentist
Enumeration Date: Feb 22, 2022
Last Updated: Feb 22, 2022

Practice Location

Address: 1556 20TH ST STE A
City: Santa Monica
State: California
ZIP Code: 90404-3466
Phone: (866) 765-2327

Authorized Official

Name: JOHN ROLLINGS
Title: CHIEF ADMINISTRATIVE OFFICER
Phone: (717) 586-8942

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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