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General NPI Number Information
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NPI Number | 1659425247
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Entity Type | Organization
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Legal Business Name | KAMRAN SAHABI D.D.S., A PROFESSIONAL DENTAL CORPORATION
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 5841 FIRESTONE BLVD STE C
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City | SOUTH GATE
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State | CA
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Zip | 90280-3716
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Country | US
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Telephone | 562-806-8611
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Fax | 562-806-8615
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Provider Business Mailing Address
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Address Line | 5841 FIRESTONE BLVD STE C
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City | SOUTH GATE
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State | CA
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Zip | 90280-3716
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Country | US
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Telephone | 562-806-8611
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Fax | 562-806-8615
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Authorized Official
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Title or Position | PRESIDENT-CEO
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Name | DR. KAMRAN SAHABI
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Credential | D.D.S.
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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 | 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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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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Taxonomy #5
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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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