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General NPI Number Information
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NPI Number | 1235641291
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Entity Type | Organization
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Legal Business Name | SAFFARI-NAZARI D.D.S., AND SAHABI D.D.S., INC.
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Dates
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Enumeration Date | 10/31/2017
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Last Update Date | 10/31/2017
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Provider Practice Location Address
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Address Line | 1666 MEDICAL CENTER DR STE 3
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City | SAN BERNARDINO
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State | CA
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Zip | 92411-1257
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Country | US
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Telephone | 909-252-7330
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Fax |
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Provider Business Mailing Address
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Address Line | 4701 EAGLE ROCK BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90041-2711
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Country | US
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Telephone | 818-395-4833
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Fax | 818-790-3885
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KAMRAN SAHABI
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Credential | DDS
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Telephone | 818-395-4833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | CA
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