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General NPI Number Information
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NPI Number | 1639883150
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Entity Type | Organization
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Legal Business Name | ARJANG DDS INC.
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Dates
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Enumeration Date | 01/10/2023
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 7648 SEVILLE AVE
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-6046
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Country | US
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Telephone | 310-968-1866
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Fax |
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Provider Business Mailing Address
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Address Line | 435 S BENTLEY AVE
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City | LOS ANGELES
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State | CA
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Zip | 90049-3512
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Country | US
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Telephone | 310-968-1866
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | DANIELLE FARZAM
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Credential | DDS
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Telephone | 310-968-1866
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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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