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General NPI Number Information
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NPI Number | 1235876327
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Entity Type | Organization
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Legal Business Name | SAMIRA SEINI DENTAL PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/19/2022
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 1538 E COLLINS AVE
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City | ORANGE
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State | CA
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Zip | 92867-5934
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Country | US
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Telephone | 714-532-1139
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Fax | 714-532-1233
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Provider Business Mailing Address
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Address Line | 185 TRIBECA
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City | IRVINE
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State | CA
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Zip | 92612-0178
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Country | US
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Telephone | 714-390-8449
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Fax | 714-532-1233
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAMIRA SEINI
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Credential | DDS
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Telephone | 714-390-8449
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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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