# ABDOLREZA SAMENI DDS A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WLA Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487711388
- **Authorized official:** MRS. NANCY E ROSENBLUM (OFFICE MANAGER)
- **Authorized official phone:** (310) 312-0882

## Contact information

- **Practice address:** 1950 SAWTELLE BLVD, \#100, LOS ANGELES, CA 90025-7014
- **Practice address phone:** (310) 312-0882
- **Practice address fax:** (310) 312-0290
- **Mailing address:** 1950 SAWTELLE BLVD, \#100, LOS ANGELES, CA 90025-7014
- **Mailing address phone:** (310) 312-0882
- **Mailing address fax:** (310) 312-0290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 39203 | CA | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 06/17/2008