Provider Demographics
NPI:1306673850
Name:R & A SABBAGHIAN DENTAL INC
Entity type:Organization
Organization Name:R & A SABBAGHIAN DENTAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANAHITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SABAGHIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:949-892-9599
Mailing Address - Street 1:4551 GLENCOE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-7927
Mailing Address - Country:US
Mailing Address - Phone:310-822-0202
Mailing Address - Fax:310-823-5051
Practice Address - Street 1:12732 W WASHINGTON BLVD STE 1-A
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-2378
Practice Address - Country:US
Practice Address - Phone:949-892-9599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental