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General NPI Number Information
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NPI Number | 1992625115
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Entity Type | Organization
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Legal Business Name | CALIFORNIA DENTAL INJURY GROUP INC
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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 | 5754 WILLOWCREST AVE
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-2122
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Country | US
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Telephone | --
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 W ALAMEDA AVE FL 15
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City | BURBANK
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State | CA
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Zip | 91505-4316
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | ALIREZA MASHREGHI
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Credential | DDS
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Telephone | 310-728-0130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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