Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khorsandi Dental Practice, PLLC

Organization Dentist · NPI 1700508397

Khorsandi Dental Practice, PLLC is a Dentist in Santa Monica, California. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1556 20th St
Santa Monica, CA 90404-3465
Phone: (717) 849-4381
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1700508397
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Rollings — Chief Administrative Officer · (717) 849-4381
NPI enumeratedSeptember 12, 2022
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022
Mailing address1556 20th St, Santa Monica, CA 90404-3465

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