Provider Demographics
NPI:1942697628
Name:BEHZAD ABADI DMD INC
Entity Type:Organization
Organization Name:BEHZAD ABADI DMD INC
Other - Org Name:BEHZAD ABADI
Other - Org Type:Other Name
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BEHZAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ABADI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:562-862-8128
Mailing Address - Street 1:10735 LAKEWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-3503
Mailing Address - Country:US
Mailing Address - Phone:562-862-8128
Mailing Address - Fax:562-923-5878
Practice Address - Street 1:10735 LAKEWOOD BLVD
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-3503
Practice Address - Country:US
Practice Address - Phone:562-862-8128
Practice Address - Fax:562-923-5878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty