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General NPI Number Information
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NPI Number | 1497097042
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Entity Type | Organization
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Legal Business Name | KSAHABI, D.D.S., INC
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Dates
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Enumeration Date | 03/21/2013
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 609 S GLENDALE AVE
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City | GLENDALE
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State | CA
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Zip | 91205-2315
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Country | US
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Telephone | 818-543-3222
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Fax | 818-543-3292
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Provider Business Mailing Address
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Address Line | 609 S GLENDALE AVE
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City | GLENDALE
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State | CA
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Zip | 91205-2315
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Country | US
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Telephone | 818-543-3222
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Fax | 818-543-3292
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Authorized Official
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Title or Position | PRESIDENT
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Name | KAMRAN SAHABI
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Credential |
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Telephone | 818-395-4833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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