Provider Demographics
NPI:1992042113
Name:SAHABI-TAFTI DENTAL CORPORATION
Entity type:Organization
Organization Name:SAHABI-TAFTI DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KAMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHABI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-968-5151
Mailing Address - Street 1:14322 TELEGRAPH RD
Mailing Address - Street 2:UNIT A
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90604-2905
Mailing Address - Country:US
Mailing Address - Phone:562-968-5151
Mailing Address - Fax:562-903-8291
Practice Address - Street 1:14322 TELEGRAPH RD
Practice Address - Street 2:UNIT A
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90604-2905
Practice Address - Country:US
Practice Address - Phone:562-968-5151
Practice Address - Fax:562-903-8291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA392021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty