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NPI 1255486676

NPI 1255486676 : DANA SAMET DDS : TORRANCE, CA

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General NPI Number Information
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    NPI Number           |    1255486676
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    Entity Type          |    Individual 
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    Provider Name        |    DANA SAMET DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/24/2007
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    Last Update Date     |    11/27/2018
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Provider Practice Location Address
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    Address Line         |    3500 LOMITA BLVD STE 204 
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    City                 |    TORRANCE
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    State                |    CA
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    Zip                  |    90505-5038
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    Country              |    US
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    Telephone            |    310-257-1111
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    Fax                  |    310-257-9270
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Provider Business Mailing Address
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    Address Line         |    6878 EDDINGHILL DR 
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    City                 |    RANCHO PALOS VERDES
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    State                |    CA
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    Zip                  |    90275-3169
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    Country              |    US
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    Telephone            |    310-377-2758
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    49660
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    License Number State |    CA
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