Kelishadi Samani Dental Corp

Dental Clinic

 
23541 Avalon Blvd, Carson
    California, 90745

 310-830-3500    310-830-7994 Maps & Directions
Kelishadi Samani Dental Corp is a Dental Clinic in Carson, California. It is located at 23541 Avalon Blvd, Carson, CA and its contact number is 310-830-3500. The authorized person for Kelishadi Samani Dental Corp is Marjan Kelishadi who is Dentist of the clinic and their contact number is 310-830-3500. The primary license number for Kelishadi Samani Dental Corp is 41930 (Dentist) in California.
Kelishadi Samani Dental Corp Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Kelishadi Samani Dental Corp Clinic speciality, address, contact phone number and fax are as below. Patients can call on the below given phone number for appointments.
Name: Kelishadi Samani Dental Corp
Specialization: Dentistry
Clinic Address:23541 Avalon Blvd, Carson,
California, 90745
Phone:310-830-3500
Fax:310-830-7994
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name: Marjan Kelishadi
Position: Dentist
Contact Number: 310-830-3500
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Kelishadi Samani Dental Corp clinic are as mentioned below.
NPI Number: 1508069576
NPI Enumeration Date: 07 Jun, 2007
NPI Last Update On: 03 Jul, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelishadi Samani Dental Corp are as mentioned below.
SpecializationLicense NumberStateStatus
Dentist 41930CaliforniaPrimary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
G9300701MedicaidCalifornia
809101OtherCaliforniaUnited Concordia
612331200OtherCaliforniaAffiliated Computer Servi
G9805001OtherCaliforniaHealthy Families
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Kelishadi Samani Dental Corp
23541 Avalon Blvd,
Carson, California
Zip: 90745
Phone Number: 310-830-3500
Fax Number: 310-830-7994
Patients can reach Kelishadi Samani Dental Corp at 23541 Avalon Blvd, Carson, California or can call to book an appointment on 310-830-3500. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.

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