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General NPI Number Information
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NPI Number | 1033655220
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Entity Type | Organization
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Legal Business Name | BENYAMINY AND KASHANI DENTAL CORP
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Dates
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Enumeration Date | 01/11/2017
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 8954 RESEDA BLVD #100
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City | NORTHRIDGE
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State | CA
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Zip | 91324
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Country | US
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Telephone | 818-701-3010
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Fax | 818-701-0115
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Provider Business Mailing Address
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Address Line | 8954 RESEDA BLVD #100
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City | NORTHRIDGE
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State | CA
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Zip | 91324-3952
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Country | US
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Telephone | 818-701-3010
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Fax | 818-701-0115
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Authorized Official
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Title or Position | OWNER
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Name | ISAAC KAHEN KASHANI
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Credential | DDS
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Telephone | 818-701-3010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 58692
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License Number State | CA
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