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General NPI Number Information
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NPI Number | 1184205304
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Entity Type | Organization
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Legal Business Name | SALINA MAHGEREFTEH DDS INC
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 435 N BEDFORD DR STE 205
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4357
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Country | US
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Telephone | 310-275-5970
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Fax |
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Provider Business Mailing Address
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Address Line | 435 N BEDFORD DR STE 205
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4357
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Country | US
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Telephone | 310-275-5970
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Fax |
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Authorized Official
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Title or Position | OWNER DDS
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Name | SALINA MAHGEREFTEH
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Credential | DDS
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Telephone | 310-467-7200
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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 |
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License Number State |
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