Sahawneh Dental Corporation

NPI #1568847101 in Venice, California

Provider Information

NPI Number: 1568847101
Entity Type: Organization
Organization Name: Sahawneh Dental Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: SAHAWNEH DENTAL CORPORATION
Primary Specialty: Dentist
Enumeration Date: Jul 24, 2015
Last Updated: Jul 24, 2015

Practice Location

Address: 1440 LINCOLN BLVD
City: Venice
State: California
ZIP Code: 90291-3516
Phone: (310) 399-9900

Authorized Official

Name: DR. SHOROUQ SAHAWNEH, DDS
Title: OWNER/DENTIST
Phone: (714) 578-6358

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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