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Organization
SAMOHA DENTAL CORP
Active
Organization
SAMOHA DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHMUEL SAMOHA DDS (CEO)
(818) 430-9207
Entity
Organization
Contact information
Practice address
5301 NEWCASTLE AVE, ENCINO, CA 91316-3080
(818) 430-9207
Mailing address
5805 WHITE OAK AVE, #16714, ENCINO, CA 91316-3080
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60167
CA
Other
Enumeration date
06/13/2012
Last updated
10/02/2020
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