# SUZAN SABAGH DENTAL CORPORATION

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

## Provider details

- **NPI number:** 1245134527
- **Authorized official:** DR. SUZAN SABAGH DDS (PRESIDENT)
- **Authorized official phone:** (310) 493-1133

## Contact information

- **Practice address:** 11980 SAN VICENTE BLVD STE 814, LOS ANGELES, CA 90049-6606
- **Practice address phone:** (310) 493-1133
- **Mailing address:** 15507 S NORMANDIE AVE \# 424, GARDENA, CA 90247-4013
- **Mailing address phone:** (310) 493-1133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223X2210X | Orofacial Pain Dentistry | — | NULL | Yes |

## Other

- **Enumeration date:** 10/07/2026
- **Last updated:** 10/07/2026
