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NPI Code Detail

MEDICARE: J SINAIRAD PROFESSIONAL DENTAL CORPORATION

MEDICARE: J SINAIRAD PROFESSIONAL DENTAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist40309CA
2261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1942450333
Entity Type Code : Organization
Provider Name (Legal Business Name) : J SINAIRAD PROFESSIONAL DENTAL CORPORATION
Provider Business Mailing Address
First Line : 929 N ORANGE GROVE BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91103-3354
Country : US
Telephone Number : 626-449-3700
Fax Number :
Provider Business Practice Location Address
First Line : 929 N ORANGE GROVE BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91103-3354
Country : US
Telephone Number : 626-449-3700
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JOSEPH SINAIRAD
Credential :
Telephone Number : 818-780-7555
Provider Enumeration Date : 09/23/2008
Last Update Date : 08/26/2022

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Directions to “J SINAIRAD PROFESSIONAL DENTAL CORPORATION ” Practice Location

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