| Suzan Khajavi Dds, Inc | |
|
1075 E Pacific Coast Hwy Suite D Long Beach CA 90806-5089 | |
| (562) 591-6070 | |
| Not Available |
| Full Name | Suzan Khajavi Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1075 E Pacific Coast Hwy, Long Beach, California |
| Authorized Official Name and Position | Suzan Cathryn Khajavi (OWNER) |
| Authorized Official Contact | 5625916070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzan Khajavi Dds, Inc 1075 E Pacific Coast Hwy Suite D Long Beach CA 90806-5089 Ph: (562) 591-6070 | Suzan Khajavi Dds, Inc 1075 E Pacific Coast Hwy Suite D Long Beach CA 90806-5089 Ph: (562) 591-6070 |
| NPI Number | 1093056715 |
|---|---|
| Provider Enumeration Date | 03/05/2013 |
| Last Update Date | 03/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093056715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 61587 (California) | Primary |
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› Verified 6 days ago
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