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General NPI Number Information
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NPI Number | 1659725208
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Entity Type | Organization
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Legal Business Name | SEPIDEH ARIARAD DDS MS, A DENTAL CORPORATION
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Dates
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Enumeration Date | 04/20/2016
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Last Update Date | 04/20/2016
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Provider Practice Location Address
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Address Line | 3565 TORRANCE BLVD SUITE B
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City | TORRANCE
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State | CA
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Zip | 90503-4847
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Country | US
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Telephone | 310-792-6262
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Fax | 310-792-6203
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Provider Business Mailing Address
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Address Line | 3565 TORRANCE BLVD SUITE B
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City | TORRANCE
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State | CA
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Zip | 90503-4847
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Country | US
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Telephone | 310-792-6262
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Fax | 310-792-6203
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Authorized Official
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Title or Position | OWNER/DR
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Name | DR. SEPIDEH ARIARAD
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Credential |
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Telephone | 310-567-0120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 41812
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License Number State | CA
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