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General NPI Number Information
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NPI Number | 1366259434
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Entity Type | Organization
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Legal Business Name | AHMAD SADEGHEIN DDS INC
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Dates
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Enumeration Date | 12/12/2024
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 500 N CENTRAL AVE STE 750
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City | GLENDALE
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State | CA
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Zip | 91203-3343
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Country | US
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Telephone | 818-551-5055
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Fax |
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Provider Business Mailing Address
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Address Line | 8077 FLORENCE AVE STE 101
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City | DOWNEY
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State | CA
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Zip | 90240-3894
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Country | US
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Telephone | 562-381-2442
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Fax |
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Authorized Official
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Title or Position | FINANCIAL MANAGER
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Name | MRS. CINDY GUILLEN
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Credential |
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Telephone | 562-381-2442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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