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General NPI Number Information
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NPI Number | 1649151010
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Entity Type | Organization
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Legal Business Name | DADAIAN DENTAL CORPORATION
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 12932 VICTORY BLVD
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-2924
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Country | US
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Telephone | 818-761-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 3379 ALGINET DR
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City | ENCINO
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State | CA
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Zip | 91436-4121
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Country | US
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Telephone | 818-590-9379
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. RAFFI HRIYR DADAIAN
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Credential | DMD
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Telephone | 818-590-9379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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