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NPI 1477418770

NPI 1477418770 : ABEDI AND VAHABI DENTAL GROUP INC. : LA CANADA FLINTRIDGE, CA

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General NPI Number Information
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    NPI Number           |    1477418770
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    Entity Type          |    Organization 
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    Legal Business Name  |    ABEDI AND VAHABI DENTAL GROUP INC. 
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Dates
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    Enumeration Date     |    12/18/2025
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    Last Update Date     |    12/18/2025
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Provider Practice Location Address
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    Address Line         |    1346 FOOTHILL BLVD STE 102 
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    City                 |    LA CANADA FLINTRIDGE
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    State                |    CA
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    Zip                  |    91011-2134
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    Country              |    US
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    Telephone            |    818-952-6762
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    Fax                  |    818-952-4957
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Provider Business Mailing Address
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    Address Line         |    1346 FOOTHILL BLVD STE 102 
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    City                 |    LA CANADA FLINTRIDGE
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    State                |    CA
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    Zip                  |    91011-2134
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    Country              |    US
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    Telephone            |    818-952-6762
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    Fax                  |    818-952-4957
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Authorized Official
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    Title or Position    |    SENIOR DIRECTOR OF OPERATIONS
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    Name                 |     DAVID S HAMBLIN 
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    Credential           |    
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    Telephone            |    573-259-9631
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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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