Organization
CRESCENTA FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN SOHAIL HAKIMI D.D.S. (OWNER)
(661) 255-3130
Entity
Organization
Contact information
Practice address
2644 FOOTHILL BLVD, LA CRESCENTA, CA 91214-3510
(818) 248-9988
(818) 248-0081
Mailing address
P.O. BOX 55368, VALENCIA, CA 91385
(661) 255-3130
(661) 451-5248
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39643
CA
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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