# EHAB SAMAAN DDS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073236881
- **Authorized official:** MR. EHAB SEDKY SAMAAN (DDS)
- **Authorized official phone:** (562) 420-1701

## Contact information

- **Practice address:** 4200 N LAKEWOOD BLVD, LONG BEACH, CA 90808-1558
- **Practice address phone:** (562) 420-1701
- **Practice address fax:** (562) 421-8447
- **Mailing address:** 4200 N LAKEWOOD BLVD, LONG BEACH, CA 90808-1558
- **Mailing address phone:** (562) 420-1701
- **Mailing address fax:** (562) 421-8447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/26/2022
- **Last updated:** 12/07/2022