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General NPI Number Information
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NPI Number | 1194433730
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Entity Type | Organization
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Legal Business Name | L K SAH DENTAL CORP.
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Dates
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Enumeration Date | 11/14/2022
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Last Update Date | 11/14/2022
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Provider Practice Location Address
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Address Line | 11201 CALIFORNIA ST STE D
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City | REDLANDS
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State | CA
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Zip | 92373-4247
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Country | US
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Telephone | 909-674-0051
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Fax | 909-674-0076
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Provider Business Mailing Address
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Address Line | 33087 BRADCLIFF CT
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City | YUCAIPA
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State | CA
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Zip | 92399-3446
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Country | US
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Telephone | 916-230-8336
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDA SAH
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Credential | DDS
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Telephone | 916-230-8336
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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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