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Behnaz Khodadad, DDS
General Practice Dentistry in Moreno Valley, California
NPI 1154497246

Behnaz Khodadad is a General Practice Dentistry based in Moreno Valley, CA and is specialized in General Practice. Behnaz Khodadad practices in Moreno Valley, CA and has the professional credentials of DDS. The NPI Number for Behnaz Khodadad is 1154497246 and holds a License No. 54158 (California).

The current practice location address for Behnaz Khodadad is 12712 Heacock St, Moreno Valley, CA and can be reached out via phone at 951-247-7400.

Location: 12712 Heacock St, Moreno Valley, CA, 92551-2027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154497246
Provider Name
Behnaz Khodadad
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
12712 Heacock St, Moreno Valley, CA, 92551-2027
Phone Number
951-247-7400
Fax Number
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D54158 01 CA DENTICAL
institution
Provider Business Practice Location Address Details
Address
12712 Heacock St
City
Moreno Valley
State
California
Zip
92553-3037
Phone Number
951-247-7400
Fax Number
person
Provider Business Mailing Address Details
Address
12712 Heacock St
City
Moreno Valley
State
California
Zip
92553-3037
Phone Number
951-247-7400
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
54158 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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