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Organization
SAM BARADARAN DDS INC
Active
Organization
SAM BARADARAN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM BARADARAN (DDS)
(818) 447-0098
Entity
Organization
Contact information
Practice address
16440 VANOWEN ST, VAN NUYS, CA 91406-4729
(818) 779-4900
Mailing address
16440 VANOWEN ST, VAN NUYS, CA 91406-4729
(818) 779-4900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
02/17/2021
Last updated
02/19/2021
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