Provider Demographics
NPI:1124406293
Name:ARASH SAEDI DDS INC.
Entity type:Organization
Organization Name:ARASH SAEDI DDS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARASH
Authorized Official - Middle Name:JAKE
Authorized Official - Last Name:SAEDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:323-588-4869
Mailing Address - Street 1:6318 PACIFIC BLVD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255-4102
Mailing Address - Country:US
Mailing Address - Phone:323-588-4869
Mailing Address - Fax:323-588-2839
Practice Address - Street 1:6318 PACIFIC BLVD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-4102
Practice Address - Country:US
Practice Address - Phone:323-588-4869
Practice Address - Fax:323-588-2839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD54198122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty