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General NPI Number Information
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NPI Number | 1699657437
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Entity Type | Organization
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Legal Business Name | MERSEDEH RAJINIA DENTAL CORPORATION
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 9201 W SUNSET BLVD STE 418
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-3705
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Country | US
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Telephone | 310-275-1399
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Fax |
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Provider Business Mailing Address
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Address Line | 7551 PENOBSCOT DR
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City | WEST HILLS
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State | CA
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Zip | 91304-5252
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Country | US
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Telephone | 818-518-5472
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MERSEDEH RAJINIA
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Credential | DDS
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Telephone | 818-518-5472
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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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