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General NPI Number Information
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NPI Number | 1134045719
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Entity Type | Organization
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Legal Business Name | SOPHIA ROZOV DDS INC
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 11214 WHITTIER BLVD
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City | WHITTIER
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State | CA
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Zip | 90606-1437
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Country | US
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Telephone | 562-904-0400
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Fax |
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Provider Business Mailing Address
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Address Line | 5640 ETIWANDA AVE UNIT 5
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City | TARZANA
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State | CA
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Zip | 91356-2727
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Country | US
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Telephone | 818-635-9141
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Fax |
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Authorized Official
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Title or Position | DDS / OWNER
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Name | SOPHIA SONYA ROZOV
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Credential |
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Telephone | 562-904-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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