| Sara Shirazi Dental Corp | |
|
15701 Crenshaw Blvd Gardena CA 90249-4529 | |
| (310) 592-5318 | |
| Not Available |
| Full Name | Sara Shirazi Dental Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15701 Crenshaw Blvd, Gardena, California |
| Authorized Official Name and Position | Sara Shirazi (CEO) |
| Authorized Official Contact | 3105925318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Shirazi Dental Corp 1059 S Shenandoah St Apt 306 Los Angeles CA 90035-2173 Ph: (310) 592-5318 | Sara Shirazi Dental Corp 15701 Crenshaw Blvd Gardena CA 90249-4529 Ph: (310) 592-5318 |
| NPI Number | 1396523122 |
|---|---|
| Provider Enumeration Date | 09/21/2023 |
| Last Update Date | 09/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396523122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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