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Organization

SAM S. KHORSANDI,D.D.S., A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAM S KHORSANDI DDS (OWNER)
(310) 720-1430
Entity
Organization

Contact information

Practice address
2100 W BEVERLY BLVD, MONTEBELLO, CA 90640-3902
(323) 724-6009
(323) 724-5608
Mailing address
2100 W BEVERLY BLVD, MONTEBELLO, CA 90640-3902
(323) 724-6009
(323) 724-5608

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
02/02/2026
Last updated
02/02/2026
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