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General NPI Number Information
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NPI Number | 1295642940
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Entity Type | Organization
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Legal Business Name | POUR MONAJEM ZADEH DENTAL FULLERTON INC
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 1424 S EUCLID ST
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City | FULLERTON
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State | CA
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Zip | 92832-3152
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Country | US
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Telephone | 714-441-1414
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Fax | 714-441-1445
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Provider Business Mailing Address
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Address Line | 1260 ARMACOST AVE APT 203
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City | LOS ANGELES
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State | CA
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Zip | 90025-1468
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Country | US
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Telephone | 213-357-6807
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SEPIDEH POUR MONAJEM ZADEH
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Credential | DDS
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Telephone | 213-357-6807
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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 |
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License Number State |
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