Provider Demographics
NPI:1497097042
Name:KSAHABI, D.D.S., INC
Entity type:Organization
Organization Name:KSAHABI, D.D.S., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHABI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-395-4833
Mailing Address - Street 1:609 S GLENDALE AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-2315
Mailing Address - Country:US
Mailing Address - Phone:818-543-3222
Mailing Address - Fax:818-543-3292
Practice Address - Street 1:609 S GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-2315
Practice Address - Country:US
Practice Address - Phone:818-543-3222
Practice Address - Fax:818-543-3292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-21
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Multi-Specialty