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General NPI Number Information
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NPI Number | 1356026025
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Entity Type | Organization
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Legal Business Name | ALJANEDI DENTAL CORPORATION
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Dates
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Enumeration Date | 06/20/2023
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 8514 PARAMOUNT BLVD
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City | DOWNEY
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State | CA
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Zip | 90240
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Country | US
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Telephone | 562-928-5559
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Fax |
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Provider Business Mailing Address
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Address Line | 8514 PARAMOUNT BLVD
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City | DOWNEY
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State | CA
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Zip | 90240
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Country | US
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Telephone | 562-928-5559
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MOHDSAMEER Y ALJANEDI
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Credential |
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Telephone | 310-386-8188
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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 |
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