NPI 1629543228 · live from the CMS NPI Registry
Alboorz, LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Watertown, MA. National Provider Identifier 1629543228, active.
NPI record
| NPI | 1629543228 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 49 Keenan St, Watertown, MA 02472 |
| Practice phone | 310-401-4300 |
| Mailing address | 1500 Paseo De Oro, Pacific Palisades, CA 90272 |
| Enumerated | October 10, 2018 |
| Last updated | October 10, 2018 |
| Authorized official | Mohamad Yazdi, Member |
| Other names | Kingdom Of Smiles |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Laboratory | 292200000X | — |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.