Dr. Shahbod Sean Khodai, DMD
Dentist, General Practice in Roseville, CA. Individual provider (NPI-1).
NPI number1124155064
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124155064
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shahbod Sean Khodai
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 27, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 51600 | CA | Yes |
Practice location
1623 Eureka RdRoseville, CA 95661-3027
Phone 916-783-2273 · Fax 916-783-1982
Mailing address
1623 Eureka RdRoseville, CA 95661-3027
Phone 916-783-2273 · Fax 916-783-1982
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