# AMIR SANJABI DENTAL CORPORATION

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

## Provider details

- **NPI number:** 1538736590
- **Authorized official:** AMIR SANJABI DDS (OWNER)
- **Authorized official phone:** (562) 869-0928

## Contact information

- **Practice address:** 10901 PARAMOUNT BLVD, DOWNEY, CA 90241-3617
- **Practice address phone:** (562) 869-0928
- **Practice address fax:** (562) 869-8288
- **Mailing address:** 10901 PARAMOUNT BLVD, DOWNEY, CA 90241-3617
- **Mailing address phone:** (562) 869-0928
- **Mailing address fax:** (562) 869-8288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 06/08/2021
- **Last updated:** 06/08/2021