Organization
KANANI DENTAL CORPORATION
Active
Other names
Absolute Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAVEH KANANI DDS (OWNER/DENTIST)
(310) 710-9067
Entity
Organization
Contact information
Practice address
450 W PALMDALE BLVD STE D, PALMDALE, CA 93551-3104
(661) 265-7397
Mailing address
450 W PALMDALE BLVD STE D, PALMDALE, CA 93551-3104
(661) 265-7397
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023374410
—
CA
05
—
1851453518
—
CA
Enumeration date
06/01/2023
Last updated
08/03/2023
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