Organization
SINAI DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABOLGHASEM SINAI D.D.S. (OWNER)
(818) 251-9794
Entity
Organization
Contact information
Practice address
7257 VASSAR AVE #203, CANOGA PARK, CA 91303
(818) 251-9794
(818) 251-9774
Mailing address
7257 VASSAR AVE STE 203, CANOGA PARK, CA 91303-4409
(818) 251-9794
(818) 251-9774
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
43397
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43397
MEDICAL
CA
Enumeration date
03/11/2015
Last updated
03/11/2015
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