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General NPI Number Information
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NPI Number | 1356188924
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Entity Type | Organization
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Legal Business Name | SAHAR MOEINI DENTAL CORPORATION
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Dates
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Enumeration Date | 07/11/2024
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 5757 WILSHIRE BLVD STE 660
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City | LOS ANGELES
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State | CA
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Zip | 90036-3691
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Country | US
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Telephone | 323-930-2386
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Fax |
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Provider Business Mailing Address
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Address Line | 11022 SANTA MONICA BLVD STE 440
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City | LOS ANGELES
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State | CA
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Zip | 90025-7566
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SAHAR MOEINI
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Credential | DMD
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Telephone | 925-330-5828
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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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