Crescenta Family Dental

NPI #1801087176 in La Crescenta, California

Provider Information

NPI Number: 1801087176
Entity Type: Organization
Organization Name: Crescenta Family Dental
Primary Specialty: Dentist
Enumeration Date: Aug 5, 2007
Last Updated: Aug 5, 2007

Practice Location

Address: 2644 FOOTHILL BLVD
City: La Crescenta
State: California
ZIP Code: 91214-3510
Phone: (818) 248-9988

Authorized Official

Name: SEAN SOHAIL HAKIMI, D.D.S.
Title: OWNER
Phone: (661) 255-3130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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