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General NPI Number Information
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NPI Number | 1730875121
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Entity Type | Organization
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Legal Business Name | ARIAN BAROOTY DENTAL CORPORATION
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Dates
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Enumeration Date | 04/18/2023
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Last Update Date | 04/18/2023
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Provider Practice Location Address
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Address Line | 1295 S LA BREA AVE STE 101
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City | INGLEWOOD
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State | CA
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Zip | 90301-0972
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Country | US
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Telephone | 818-793-8261
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Fax |
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Provider Business Mailing Address
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Address Line | 1016 S HOLT AVE APT 1
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City | LOS ANGELES
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State | CA
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Zip | 90035-2026
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Country | US
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Telephone | 818-793-8261
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ARIAN BAROOTY
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Credential | DDS
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Telephone | 818-793-8261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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