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Organization
SAHABI-MORAVVEJI DENTAL CORPORATION
Active
Organization
SAHABI-MORAVVEJI DENTAL CORPORATION
Active
Other names
California Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMRAN SAHABI DDS (PRESIDENT)
(818) 395-4833
Entity
Organization
Contact information
Practice address
2101 BROADVIEW DR, GLENDALE, CA 91208-1313
(818) 395-3833
Mailing address
4701 EAGLE ROCK BLVD, LOS ANGELES, CA 90041-2711
(818) 395-4833
(818) 790-3885
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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