| Ksahabi, D.d.s., Inc | |
|
930 W Foothill Blvd Suite D Upland CA 91786-3756 | |
| (909) 949-6906 | |
| (909) 931-2638 |
| Full Name | Ksahabi, D.d.s., Inc |
|---|---|
| Speciality | Dentist |
| Location | 930 W Foothill Blvd, Upland, California |
| Authorized Official Name and Position | Kamran Sahabi (PRESIDENT) |
| Authorized Official Contact | 8183954833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ksahabi, D.d.s., Inc 930 W Foothill Blvd Suite D Upland CA 91786-3756 Ph: (909) 949-6906 | Ksahabi, D.d.s., Inc 930 W Foothill Blvd Suite D Upland CA 91786-3756 Ph: (909) 949-6906 |
| NPI Number | 1497097042 |
|---|---|
| Provider Enumeration Date | 03/21/2013 |
| Last Update Date | 03/21/2013 |
| Medicare PECOS PAC ID | 8325438633 |
|---|---|
| Medicare Enrollment ID | O20211130003074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497097042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Kamran Sahabi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1518387778 PECOS PAC ID: 6507168374 Enrollment ID: I20211007003567 |
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