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General NPI Number Information
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NPI Number | 1598634602
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Entity Type | Organization
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Legal Business Name | SORABH DAS DDS INC
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 101 W AMERICAN CANYON RD STE 514
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City | AMERICAN CANYON
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State | CA
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Zip | 94503-1163
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Country | US
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Telephone | 707-980-5265
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Fax | 707-242-1163
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Provider Business Mailing Address
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Address Line | 101 W AMERICAN CANYON RD STE 514
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City | AMERICAN CANYON
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State | CA
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Zip | 94503-1163
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Country | US
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Telephone | 707-980-5265
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Fax | 707-242-1163
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. SORABH DAS
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Credential | DDS
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Telephone | 707-980-5265
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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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Taxonomy #2
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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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