Behnaz Khodadad is a Moreno Valley, California based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Behnaz Khodadad is 54158 for General Practice Dentistry in California. Her current practice location is 12712 Heacock St, #4, Moreno Valley. Patients can reach her at 951-247-7400.
Behnaz Khodadad is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Behnaz Khodadad speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Behnaz Khodadad
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
12712 Heacock St, #4, Moreno Valley, California, 92553-3037
Phone:
951-247-7400
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1154497246
NPI Enumeration Date:
28 Nov, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Behnaz Khodadad are as mentioned below.
License Number
Specialization
State
Status
54158
General Practice Dentistry
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Behnaz Khodadad such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
D54158
Other
California
DENTICAL
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
16185 La Fortuna Ln, Moreno Valley, California
Zip:
92551-2027
Phone Number:
951-243-6682
Patients can reach Behnaz Khodadad at 12712 Heacock St, #4, Moreno Valley, California or can call to book an appointment on 951-247-7400. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.