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General NPI Number Information
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NPI Number | 1760302962
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Entity Type | Organization
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Legal Business Name | SAFA NEWPORT DENTAL CORPORATION, INC. A PROFESSIONAL DENTAL CORPORATION
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 20280 SW ACACIA ST STE 120
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-0782
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Country | US
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Telephone | 949-773-3636
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Fax |
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Provider Business Mailing Address
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Address Line | 960 E GREEN ST STE 111
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City | PASADENA
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State | CA
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Zip | 91106-2401
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Country | US
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Telephone | 626-304-3636
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YOUNES SAFA
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Credential | DDS
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Telephone | 626-304-3636
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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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