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Organization
SARA SHIRAZI DENTAL CORP
Active
Organization
SARA SHIRAZI DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA SHIRAZI DDS (CEO)
(310) 592-5318
Entity
Organization
Contact information
Practice address
15701 CRENSHAW BLVD, GARDENA, CA 90249-4529
(310) 592-5318
Mailing address
1059 S SHENANDOAH ST APT 306, LOS ANGELES, CA 90035-2173
(310) 592-5318
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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