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General NPI Number Information
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NPI Number | 1255134615
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Entity Type | Organization
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Legal Business Name | ADRIEN HAMEDI SANGSARI DDS INC
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 9942 KATELLA AVE
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City | ANAHEIM
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State | CA
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Zip | 92804-6419
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Country | US
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Telephone | 714-643-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 18575 MARTINIQUE CT
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City | VILLA PARK
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State | CA
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Zip | 92861-3122
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Country | US
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Telephone | 818-523-6403
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ADRIEN ARASH HAMEDI SANGSARI
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Credential | DDS, MS
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Telephone | 818-523-6403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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