{
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"IsOrgSubpart": "N",
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"OrgName": "ALEX SADROSSADAT, DDS INC.",
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"FirstLineMailingAddress": "2080 GREENWOOD LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "POMONA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91766-5768",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "702-334-4405",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4545 E 3RD ST STE 108",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LOS ANGELES",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90022-1656",
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"PracticeLocationAddressTelephoneNumber": "323-780-0189",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/11/2023",
"LastUpdateDate": "12/11/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SADROSSADAT",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "DDS",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}