Provider Demographics
NPI:1902585599
Name:S SEAN HAKIMI DDS INC
Entity Type:Organization
Organization Name:S SEAN HAKIMI DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOHAIL
Authorized Official - Middle Name:SEAN
Authorized Official - Last Name:HAKIMI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-426-0778
Mailing Address - Street 1:3821 ATLANTIC AVE STE D
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-3533
Mailing Address - Country:US
Mailing Address - Phone:562-426-0778
Mailing Address - Fax:
Practice Address - Street 1:3821 ATLANTIC AVE STE D
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-3533
Practice Address - Country:US
Practice Address - Phone:562-426-0778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CRESCENTA FAMILY DENTAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental